{"id":22621,"date":"2021-02-05T17:02:49","date_gmt":"2021-02-05T20:02:49","guid":{"rendered":"https:\/\/www.hospitalaleman.org.ar\/?post_type=page-plan&#038;p=22621"},"modified":"2023-07-18T15:03:41","modified_gmt":"2023-07-18T18:03:41","slug":"solicitud-de-baja","status":"publish","type":"page-plan","link":"https:\/\/www.hospitalaleman.org.ar\/de\/plan-medico\/socios\/solicitud-de-baja\/","title":{"rendered":"Solicitud de Baja"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_48' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_48'  action='\/de\/wp-json\/wp\/v2\/page-plan\/22621' data-formid='48' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_48' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_48_1\" class=\"gfield gfield--type-number gfield--input-type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_1'>DNI<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_1' id='input_48_1' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_48_1\" \/><\/div><div class='gfield_description' id='gfield_description_48_1'>Ingrese todos los n\u00fameros de su documento, sin espacios, puntos ni guiones.<\/div><\/li><li id=\"field_48_5\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_5'>N\u00famero de socio completo<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_5' id='input_48_5' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_48_5\" \/><\/div><div class='gfield_description' id='gfield_description_48_5'>Ingrese todos los d\u00edgitos de su credencial, sin espacios, puntos ni guiones.<\/div><\/li><li id=\"field_48_2\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Nombre<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_48_2'>\n                            \n                            <span id='input_48_2_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.3' id='input_48_2_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_48_2_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_48_2_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.6' id='input_48_2_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_48_2_6' class='gform-field-label gform-field-label--type-sub '>Apellido<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_48_3\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_3'>Tel\u00e9fono<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_48_3' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_48_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_4'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_48_4' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_48_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Solicitar baja<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_48_12'>\n\t\t\t<li class='gchoice gchoice_48_12_0'>\n\t\t\t\t<input name='input_12' type='radio' value='Plan individual \/ grupo familiar completo'  id='choice_48_12_0'    \/>\n\t\t\t\t<label for='choice_48_12_0' id='label_48_12_0' class='gform-field-label gform-field-label--type-inline'>Plan individual \/ grupo familiar completo<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_48_12_1'>\n\t\t\t\t<input name='input_12' type='radio' value='Uno o m\u00e1s integrantes del grupo familiar'  id='choice_48_12_1'    \/>\n\t\t\t\t<label for='choice_48_12_1' id='label_48_12_1' class='gform-field-label gform-field-label--type-inline'>Uno o m\u00e1s integrantes del grupo familiar<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_48_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >\u00bfCu\u00e1ntos integrantes?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_48_15'>\n\t\t\t<li class='gchoice gchoice_48_15_0'>\n\t\t\t\t<input name='input_15' type='radio' value='1'  id='choice_48_15_0'    \/>\n\t\t\t\t<label for='choice_48_15_0' id='label_48_15_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_48_15_1'>\n\t\t\t\t<input name='input_15' type='radio' value='2'  id='choice_48_15_1'    \/>\n\t\t\t\t<label for='choice_48_15_1' id='label_48_15_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_48_15_2'>\n\t\t\t\t<input name='input_15' type='radio' value='3'  id='choice_48_15_2'    \/>\n\t\t\t\t<label for='choice_48_15_2' id='label_48_15_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_48_14\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_14'>DNI del integrante<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_14' id='input_48_14' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_48_14\" \/><\/div><div class='gfield_description' id='gfield_description_48_14'>Ingrese todos los n\u00fameros de su documento, sin espacios, puntos ni guiones.<\/div><\/li><li id=\"field_48_13\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_13'>N\u00famero de socio completo del integrante<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_13' id='input_48_13' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_48_13\" \/><\/div><div class='gfield_description' id='gfield_description_48_13'>Ingrese todos los d\u00edgitos de su credencial, sin espacios, puntos ni guiones.<\/div><\/li><li id=\"field_48_16\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Nombre del integrante<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_48_16'>\n                            \n                            <span id='input_48_16_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_16.3' id='input_48_16_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_48_16_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_48_16_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_16.6' id='input_48_16_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_48_16_6' class='gform-field-label gform-field-label--type-sub '>Apellido<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_48_18\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_18'>DNI del integrante<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_18' id='input_48_18' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_48_18\" \/><\/div><div class='gfield_description' id='gfield_description_48_18'>Ingrese todos los n\u00fameros de su documento, sin espacios, puntos ni guiones.<\/div><\/li><li id=\"field_48_20\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_20'>N\u00famero de socio completo del integrante<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_20' id='input_48_20' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_48_20\" \/><\/div><div class='gfield_description' id='gfield_description_48_20'>Ingrese todos los d\u00edgitos de su credencial, sin espacios, puntos ni guiones.<\/div><\/li><li id=\"field_48_22\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Nombre del integrante<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_48_22'>\n                            \n                            <span id='input_48_22_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_22.3' id='input_48_22_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_48_22_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_48_22_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_22.6' id='input_48_22_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_48_22_6' class='gform-field-label gform-field-label--type-sub '>Apellido<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_48_17\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_17'>DNI del integrante<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_17' id='input_48_17' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_48_17\" \/><\/div><div class='gfield_description' id='gfield_description_48_17'>Ingrese todos los n\u00fameros de su documento, sin espacios, puntos ni guiones.<\/div><\/li><li id=\"field_48_19\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_19'>N\u00famero de socio completo del integrante<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_19' id='input_48_19' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_48_19\" \/><\/div><div class='gfield_description' id='gfield_description_48_19'>Ingrese todos los d\u00edgitos de su credencial, sin espacios, puntos ni guiones.<\/div><\/li><li id=\"field_48_21\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Nombre del integrante<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_48_21'>\n                            \n                            <span id='input_48_21_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_21.3' id='input_48_21_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_48_21_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_48_21_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_21.6' id='input_48_21_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_48_21_6' class='gform-field-label gform-field-label--type-sub '>Apellido<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_48_7\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >D\u00edas de contacto<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_48_7'><li class='gchoice gchoice_48_7_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.1' type='checkbox'  value='Lunes'  id='choice_48_7_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_48_7_1' id='label_48_7_1' class='gform-field-label gform-field-label--type-inline'>Lunes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_48_7_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.2' type='checkbox'  value='Martes'  id='choice_48_7_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_48_7_2' id='label_48_7_2' class='gform-field-label gform-field-label--type-inline'>Martes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_48_7_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.3' type='checkbox'  value='Mi\u00e9rcoles'  id='choice_48_7_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_48_7_3' id='label_48_7_3' class='gform-field-label gform-field-label--type-inline'>Mi\u00e9rcoles<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_48_7_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.4' type='checkbox'  value='Jueves'  id='choice_48_7_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_48_7_4' id='label_48_7_4' class='gform-field-label gform-field-label--type-inline'>Jueves<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_48_7_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.5' type='checkbox'  value='Viernes'  id='choice_48_7_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_48_7_5' id='label_48_7_5' class='gform-field-label gform-field-label--type-inline'>Viernes<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_48_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Horario de contacto<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_48_8'>\n\t\t\t<li class='gchoice gchoice_48_8_0'>\n\t\t\t\t<input name='input_8' type='radio' value='9 a 12hs.'  id='choice_48_8_0'    \/>\n\t\t\t\t<label for='choice_48_8_0' id='label_48_8_0' class='gform-field-label gform-field-label--type-inline'>9 a 12hs.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_48_8_1'>\n\t\t\t\t<input name='input_8' type='radio' value='12 a 18hs.'  id='choice_48_8_1'    \/>\n\t\t\t\t<label for='choice_48_8_1' id='label_48_8_1' class='gform-field-label gform-field-label--type-inline'>12 a 18hs.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_48_8_2'>\n\t\t\t\t<input name='input_8' type='radio' value='A partir de 18hs.'  id='choice_48_8_2'    \/>\n\t\t\t\t<label for='choice_48_8_2' id='label_48_8_2' class='gform-field-label gform-field-label--type-inline'>A partir de 18hs.<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_48_9\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_9'>Motivo de baja<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_48_9' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Cambio de cobertura m\u00e9dica' >Cambio de cobertura m\u00e9dica<\/option><option value='Dificultades econ\u00f3micas' >Dificultades econ\u00f3micas<\/option><option value='Inconvenientes con Hospital Alem\u00e1n' >Inconvenientes con Hospital Alem\u00e1n<\/option><option value='Inconvenientes con Plan M\u00e9dico' >Inconvenientes con Plan M\u00e9dico<\/option><option value='Mudanza' >Mudanza<\/option><option value='Separaci\u00f3n' >Separaci\u00f3n<\/option><option value='Otro' >Otro<\/option><\/select><\/div><\/li><li id=\"field_48_10\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_10'>Especificar motivo de baja<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_48_10' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_48_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_48_11'>Comentarios<\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_48_11' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_48_6\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><b>IMPORTANTE<\/b>: seg\u00fan la <b>Ley de Empresas de Medicina Prepaga N\u00b0 26682<\/b> define en su <b>ARTICULO 9\u00ba \u2014 Rescisi\u00f3n<\/b>. Los usuarios pueden rescindir en cualquier momento el contrato celebrado, sin limitaci\u00f3n y sin penalidad alguna, debiendo <b>notificar fehacientemente esta decisi\u00f3n a la otra parte con treinta (30) d\u00edas de anticipaci\u00f3n<\/b>. Los sujetos comprendidos en el art\u00edculo 1\u00ba de la presente ley s\u00f3lo pueden rescindir el contrato con el usuario cuando incurra, como m\u00ednimo, en la falta de pago de tres (3) cuotas consecutivas o cuando el usuario haya falseado la declaraci\u00f3n jurada. En caso de falta de pago, transcurrido el t\u00e9rmino impago establecido y previo a la rescisi\u00f3n, los sujetos comprendidos en el art\u00edculo 1\u00ba de la presente ley deben comunicar en forma fehaciente al usuario la constituci\u00f3n en mora intimando a la regularizaci\u00f3n dentro del t\u00e9rmino de diez (10) d\u00edas.<\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_48' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Enviar'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_48' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_48' id='gform_theme_48' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_48' id='gform_style_settings_48' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_48' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='48' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_48' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_48' id='gform_target_page_number_48' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_48' id='gform_source_page_number_48' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 48, 'https:\/\/www.hospitalaleman.org.ar\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_48').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_48');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_48').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_48').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_48').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_48').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_48').val();gformInitSpinner( 48, 'https:\/\/www.hospitalaleman.org.ar\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [48, current_page]);window['gf_submitting_48'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_48').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [48]);window['gf_submitting_48'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_48').text());}else{jQuery('#gform_48').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"48\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_48\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_48\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_48\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 48, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n\n","protected":false},"parent":218,"menu_order":6,"template":"","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-22621","page-plan","type-page-plan","status-publish","hentry"],"acf":[],"taxonomy_info":[],"featured_image_src_large":[],"author_info":[],"comment_info":"","spectra_custom_meta":{"_edit_lock":["1778597364:101014"],"_edit_last":["2"],"_pp_is_autodraft":["1"],"_yoast_wpseo_content_score":["60"],"enablechat":["0"],"_enablechat":["field_5cd31fa59cc6a"],"_pp_last_parent":["218"],"specialtitle":[""],"_specialtitle":["field_56cf7e5c3b422"],"headerimage":[""],"_headerimage":["field_565629ec1df92"],"modules":[""],"_modules":["field_5656263b16a73"],"related":[""],"_related":["field_565628cc16a8a"],"searchOptions":["default"],"_searchOptions":["field_6086fde5956fe"],"_uag_css_file_name":["uag-css-22621.css"],"_uag_page_assets":["a:9:{s:3:\"css\";s:0:\"\";s:2:\"js\";s:0:\"\";s:18:\"current_block_list\";a:2:{i:0;s:12:\"core\/heading\";i:1;s:14:\"core\/page-list\";}s:8:\"uag_flag\";b:0;s:11:\"uag_version\";s:10:\"1781240686\";s:6:\"gfonts\";a:1:{s:7:\"Default\";a:2:{s:10:\"fontfamily\";s:7:\"Default\";s:12:\"fontvariants\";a:0:{}}}s:10:\"gfonts_url\";s:0:\"\";s:12:\"gfonts_files\";a:0:{}s:14:\"uag_faq_layout\";b:0;}"]},"uagb_featured_image_src":[],"uagb_author_info":{"display_name":"comunicaciones","author_link":"https:\/\/www.hospitalaleman.org.ar\/de\/author\/"},"uagb_comment_info":0,"uagb_excerpt":"...","_links":{"self":[{"href":"https:\/\/www.hospitalaleman.org.ar\/de\/wp-json\/wp\/v2\/page-plan\/22621","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hospitalaleman.org.ar\/de\/wp-json\/wp\/v2\/page-plan"}],"about":[{"href":"https:\/\/www.hospitalaleman.org.ar\/de\/wp-json\/wp\/v2\/types\/page-plan"}],"version-history":[{"count":10,"href":"https:\/\/www.hospitalaleman.org.ar\/de\/wp-json\/wp\/v2\/page-plan\/22621\/revisions"}],"predecessor-version":[{"id":24689,"href":"https:\/\/www.hospitalaleman.org.ar\/de\/wp-json\/wp\/v2\/page-plan\/22621\/revisions\/24689"}],"up":[{"embeddable":true,"href":"https:\/\/www.hospitalaleman.org.ar\/de\/wp-json\/wp\/v2\/page-plan\/218"}],"wp:attachment":[{"href":"https:\/\/www.hospitalaleman.org.ar\/de\/wp-json\/wp\/v2\/media?parent=22621"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}