{"id":1278,"date":"2019-12-09T21:38:02","date_gmt":"2019-12-09T21:38:02","guid":{"rendered":"http:\/\/192.168.0.72\/?page_id=1278"},"modified":"2024-03-15T16:26:12","modified_gmt":"2024-03-15T21:26:12","slug":"prueba-formu","status":"publish","type":"page","link":"https:\/\/site.hsr.gob.pe\/?page_id=1278","title":{"rendered":"LIBRO VIRTUAL DE RECLAMACIONES EN SALUD"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:#f2f2f2;padding: 0px 0px 0px 0px;\"><div ><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"1903\" height=\"70\" title=\"cabeceragobpe\" src=\"https:\/\/site.hsr.gob.pe\/wp-content\/uploads\/2024\/03\/cabeceragobpe.jpg\" class=\"img-responsive wp-image-10988\"\/><\/span><\/div><div class=\"fusion-text fusion-text-1\" style=\"font-family:&quot;Impact, Charcoal, sans-serif&quot;;font-weight:400;transform:translate3d(0,0,0);\"><h3 style=\"text-align: center;\"><span style=\"color: #52acba;\"><strong>LIBRO DE RECLAMACIONES EN SALUD<\/strong><\/span><\/h3>\n<\/div><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-0{width:1000% !important;margin-top : 3px;margin-bottom : 3px;}.fusion-builder-column-0 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 0.192%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 0.192%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-1{ padding-top : 0px;margin-top : 0px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"margin-top:0px;margin-bottom:30px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-2\" style=\"transform:translate3d(0,0,0);\"><p><img decoding=\"async\" class=\"alignnone size-full wp-image-2133\" src=\"https:\/\/site.hsr.gob.pe\/wp-content\/uploads\/2020\/02\/logocabecera.jpg\" alt=\"\" width=\"294\" height=\"43\" \/>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<img decoding=\"async\" class=\"wp-image-2134 alignnone\" src=\"https:\/\/site.hsr.gob.pe\/wp-content\/uploads\/2020\/02\/susaludlogo.jpg\" alt=\"\" width=\"90\" height=\"71\" \/><\/p>\n<\/div><div class=\"fusion-text fusion-text-3\" style=\"font-family:&quot;Arial, Helvetica, sans-serif&quot;;font-weight:400;transform:translate3d(0,0,0);\"><div class=\"caldera-grid\" id=\"caldera_form_1\" data-cf-ver=\"1.9.4\" data-cf-form-id=\"CF5f8f43b07b4ab\"><div id=\"caldera_notices_1\" data-spinner=\"https:\/\/site.hsr.gob.pe\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"1\" class=\"CF5f8f43b07b4ab caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF5f8f43b07b4ab_1\" data-form-id=\"CF5f8f43b07b4ab\" aria-label=\"Libro de reclamos\" data-target=\"#caldera_notices_1\" data-template=\"#cfajax_CF5f8f43b07b4ab-tmpl\" data-cfajax=\"CF5f8f43b07b4ab\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"https:\/\/site.hsr.gob.pe\/?cf_api=CF5f8f43b07b4ab\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF5f8f43b07b4ab\" name=\"_cf_verify\" value=\"a812087ffd\"  data-nonce-time=\"1779469342\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1278\" \/><div id=\"cf2-CF5f8f43b07b4ab_1\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF5f8f43b07b4ab\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"1\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF5f8f43b07b4ab\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"1278\">\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Url<\/label><input type=\"text\" name=\"url\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"CF5f8f43b07b4ab_1-row-1\"  class=\"row  first_row\"><div  class=\"col-sm-12  single\"><input    type=\"hidden\" data-field=\"fld_6949616\" class=\" form-control\" id=\"fld_6949616_1\" name=\"fld_6949616\" value=\"\" data-type=\"hidden\"   ><div class=\"\"><p><Font size=\"5\" color=\"#3bafbf\"><b>HOSPITAL SANTA ROSA<\/font><\/b><br \/><Font size=\"4\" color=\"#3bafbf\">Direcci\u00f3n del establecimiento: Av. Bolivar S\/N - Pueblo Libre<\/font><\/b><\/p>\n<\/div><\/div><\/div><div id=\"CF5f8f43b07b4ab_1-row-2\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><p><b>1. IDENTIFICACI\u00d3N DEL USUARIO O TERCERO LEGITIMADO<\/b><\/p>\n<\/div><hr id=\"fld_3339610_1\" class=\"\" style=\"width: 100%\" \/><\/div><\/div><div id=\"CF5f8f43b07b4ab_1-row-3\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_8318802\" class=\"form-group\" id=\"fld_8318802_1-wrap\">\r\n\t<label id=\"fld_8318802Label\" for=\"fld_8318802_1\" class=\"control-label\">Fecha <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"date\" data-field=\"fld_8318802\" class=\" form-control\" id=\"fld_8318802_1\" name=\"fld_8318802\" value=\"\" data-type=\"date\" aria-required=\"true\"   aria-labelledby=\"fld_8318802Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_7736812\" class=\"form-group\" id=\"fld_7736812_1-wrap\">\r\n\t<label id=\"fld_7736812Label\" for=\"fld_7736812_1\" class=\"control-label\">Hora<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"time\" data-field=\"fld_7736812\" class=\" form-control\" id=\"fld_7736812_1\" name=\"fld_7736812\" value=\"\" data-type=\"time\"   aria-labelledby=\"fld_7736812Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><\/div><\/div><div id=\"CF5f8f43b07b4ab_1-row-4\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_2846907\" class=\"form-group\" id=\"fld_2846907_1-wrap\">\r\n\t<label id=\"fld_2846907Label\" for=\"fld_2846907_1\" class=\"control-label\">Nombre o Raz\u00f3n Social: <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_2846907\" class=\" form-control\" id=\"fld_2846907_1\" name=\"fld_2846907\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_2846907Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3936631\" class=\"form-group\" id=\"fld_3936631_1-wrap\">\r\n\t<label id=\"fld_3936631Label\" for=\"fld_3936631_1\" class=\"control-label\">Domicilio: <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_3936631\" class=\" form-control\" id=\"fld_3936631_1\" name=\"fld_3936631\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_3936631Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9890944\" class=\"form-group\" id=\"fld_9890944_1-wrap\">\r\n\t<label id=\"fld_9890944Label\" for=\"fld_9890944_1\" class=\"control-label\">Tipo de Documento <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_9890944\" value=\"\" data-field=\"fld_9890944\" class=\"form-control\" id=\"fld_9890944_1\"  required=\"required\"  aria-labelledby=\"fld_9890944Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"DNI\"  data-calc-value=\"DNI\" >\n\t\t\t\t\t\tDNI\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"RUC\"  data-calc-value=\"RUC\" >\n\t\t\t\t\t\tRUC\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Carnet de Extranjer\u00eda\"  data-calc-value=\"Carnet de Extranjer\u00eda\" >\n\t\t\t\t\t\tCarnet de Extranjer\u00eda\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Pasaporte\"  data-calc-value=\"Pasaporte\" >\n\t\t\t\t\t\tPasaporte\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Otros\"  data-calc-value=\"Otros\" >\n\t\t\t\t\t\tOtros\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_544067\" class=\"form-group\" id=\"fld_544067_1-wrap\">\r\n\t<label id=\"fld_544067Label\" for=\"fld_544067_1\" class=\"control-label\">E-mail: <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"email\" data-field=\"fld_544067\" class=\" form-control\" id=\"fld_544067_1\" name=\"fld_544067\" value=\"\" data-type=\"email\" aria-required=\"true\"   aria-labelledby=\"fld_544067Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9672592\" class=\"form-group\" id=\"fld_9672592_1-wrap\">\r\n\t<label id=\"fld_9672592Label\" for=\"fld_9672592_1\" class=\"control-label\">Tel\u00e9fono: <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  data-inputmask=\"'mask': '(+51)999-999999'\"  required type=\"phone\" data-field=\"fld_9672592\" class=\" form-control\" id=\"fld_9672592_1\" name=\"fld_9672592\" value=\"\" data-type=\"phone\" aria-required=\"true\"   aria-labelledby=\"fld_9672592Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9368846\" class=\"form-group\" id=\"fld_9368846_1-wrap\">\r\n\t<label id=\"fld_9368846Label\" for=\"fld_9368846_1\" class=\"control-label\">N\u00b0 de documento <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"number\" data-field=\"fld_9368846\" class=\" form-control\" id=\"fld_9368846_1\" name=\"fld_9368846\" value=\"\" data-type=\"number\" data-parsley-type=\"number\" aria-required=\"true\"   aria-labelledby=\"fld_9368846Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><\/div><\/div><div id=\"CF5f8f43b07b4ab_1-row-5\"  class=\"row \"><div  class=\"col-sm-12  single\"><hr id=\"fld_5851983_1\" class=\"\" style=\"width: 100%\" \/><div class=\"\"><p><b>2. IDENTIFICACI\u00d3N DE QUIEN PRESENTA EL RECLAMO(En caso de ser el usuario afectado no es necesario su llenado)<\/b><\/p>\n<\/div><\/div><\/div><div id=\"CF5f8f43b07b4ab_1-row-6\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_8924998\" class=\"form-group\" id=\"fld_8924998_1-wrap\">\r\n\t<label id=\"fld_8924998Label\" for=\"fld_8924998_1\" class=\"control-label\">Nombre o Raz\u00f3n Social<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_8924998\" class=\" form-control\" id=\"fld_8924998_1\" name=\"fld_8924998\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8924998Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9613025\" class=\"form-group\" id=\"fld_9613025_1-wrap\">\r\n\t<label id=\"fld_9613025Label\" for=\"fld_9613025_1\" class=\"control-label\">Domicilio<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9613025\" class=\" form-control\" id=\"fld_9613025_1\" name=\"fld_9613025\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9613025Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2387479\" class=\"form-group\" id=\"fld_2387479_1-wrap\">\r\n\t<label id=\"fld_2387479Label\" for=\"fld_2387479_1\" class=\"control-label\">Tipo de Documento<\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_2387479\" value=\"\" data-field=\"fld_2387479\" class=\"form-control\" id=\"fld_2387479_1\"    aria-labelledby=\"fld_2387479Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"DNI\"  data-calc-value=\"DNI\" >\n\t\t\t\t\t\tDNI\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"RUC\"  data-calc-value=\"RUC\" >\n\t\t\t\t\t\tRUC\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Carnet de Extranjer\u00eda\"  data-calc-value=\"Carnet de Extranjer\u00eda\" >\n\t\t\t\t\t\tCarnet de Extranjer\u00eda\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Pasaporte\"  data-calc-value=\"Pasaporte\" >\n\t\t\t\t\t\tPasaporte\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Otros\"  data-calc-value=\"Otros\" >\n\t\t\t\t\t\tOtros\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_9533277\" class=\"form-group\" id=\"fld_9533277_1-wrap\">\r\n\t<label id=\"fld_9533277Label\" for=\"fld_9533277_1\" class=\"control-label\">E-mail<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"email\" data-field=\"fld_9533277\" class=\" form-control\" id=\"fld_9533277_1\" name=\"fld_9533277\" value=\"\" data-type=\"email\"   aria-labelledby=\"fld_9533277Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9234817\" class=\"form-group\" id=\"fld_9234817_1-wrap\">\r\n\t<label id=\"fld_9234817Label\" for=\"fld_9234817_1\" class=\"control-label\">Tel\u00e9fono:<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  data-inputmask=\"'mask': '(+51)999-999999'\"   type=\"phone\" data-field=\"fld_9234817\" class=\" form-control\" id=\"fld_9234817_1\" name=\"fld_9234817\" value=\"\" data-type=\"phone\"   aria-labelledby=\"fld_9234817Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_801943\" class=\"form-group\" id=\"fld_801943_1-wrap\">\r\n\t<label id=\"fld_801943Label\" for=\"fld_801943_1\" class=\"control-label\">N\u00b0 de documento<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"number\" data-field=\"fld_801943\" class=\" form-control\" id=\"fld_801943_1\" name=\"fld_801943\" value=\"\" data-type=\"number\" data-parsley-type=\"number\"   aria-labelledby=\"fld_801943Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><\/div><\/div><div id=\"CF5f8f43b07b4ab_1-row-7\"  class=\"row \"><div  class=\"col-sm-12  single\"><hr id=\"fld_8011696_1\" class=\"\" style=\"width: 100%\" \/><div class=\"\"><p><b>3. DETALLE DEL RECLAMO<\/b><\/p>\n<\/div><div data-field-wrapper=\"fld_3307770\" class=\"form-group\" id=\"fld_3307770_1-wrap\">\r\n\t<label id=\"fld_3307770Label\" for=\"fld_3307770_1\" class=\"control-label\">reclamo <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_3307770\" value=\"\" data-field=\"fld_3307770\" class=\"form-control\" id=\"fld_3307770_1\" rows=\"4\"  required=\"required\"  aria-labelledby=\"fld_3307770Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5f8f43b07b4ab_1-row-8\"  class=\"row \"><div  class=\"col-sm-12  single\"><hr id=\"fld_8151153_1\" class=\"\" style=\"width: 100%\" \/><div class=\"\"><p><b>4. AUTORIZAR NOTIFICACI\u00d3N DEL RESULTADO DEL RECLAMO AL E-MAIL CONSIGNADO (marcar)<\/b><\/p>\n<\/div><div data-field-wrapper=\"fld_6456474\" class=\"form-group\" id=\"fld_6456474_1-wrap\">\r\n\t<label id=\"fld_6456474Label\" for=\"fld_6456474_1\" class=\"control-label\">Autoriz\u00f3 la notificaci\u00f3n del resultado por Email:<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_6456474_1_opt1582965\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"Si\"\n                                data-field=\"fld_6456474\"\n                                id=\"fld_6456474_1_opt1582965\"\n                                class=\"fld_6456474_1\"\n                                name=\"fld_6456474[opt1582965]\"\n                                value=\"Si\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_6456474_1\"\n                                                                data-calc-value=\"Si\"\n                            >\n                    Si                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\n                <label                         for=\"fld_6456474_1_opt1496048\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"No\"\n                                data-field=\"fld_6456474\"\n                                id=\"fld_6456474_1_opt1496048\"\n                                class=\"fld_6456474_1\"\n                                name=\"fld_6456474[opt1496048]\"\n                                value=\"No\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_6456474_1\"\n                                                                data-calc-value=\"No\"\n                            >\n                    No                <\/label>\n\n                \t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><div class=\"gglcptch gglcptch_v2\"><div id=\"gglcptch_recaptcha_348502370\" class=\"gglcptch_recaptcha\"><\/div>\n\t\t\t\t<noscript>\n\t\t\t\t\t<div style=\"width: 302px;\">\n\t\t\t\t\t\t<div style=\"width: 302px; height: 422px; position: relative;\">\n\t\t\t\t\t\t\t<div style=\"width: 302px; height: 422px; position: absolute;\">\n\t\t\t\t\t\t\t\t<iframe src=\"https:\/\/www.google.com\/recaptcha\/api\/fallback?k=6LfyFTMaAAAAAE6xdPShMBK90WDU5e5SP5prsYc8\" frameborder=\"0\" scrolling=\"no\" style=\"width: 302px; height:422px; border-style: none;\"><\/iframe>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div style=\"border-style: none; bottom: 12px; left: 25px; margin: 0px; padding: 0px; right: 25px; background: #f9f9f9; border: 1px solid #c1c1c1; border-radius: 3px; height: 60px; width: 300px;\">\n\t\t\t\t\t\t\t<input type=\"hidden\" id=\"g-recaptcha-response\" name=\"g-recaptcha-response\" class=\"g-recaptcha-response\" style=\"width: 250px !important; height: 40px !important; border: 1px solid #c1c1c1 !important; margin: 10px 25px !important; padding: 0px !important; resize: none !important;\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/noscript><\/div><\/p>\n<\/div><div data-field-wrapper=\"fld_6301996\" class=\"form-group\" id=\"fld_6301996_1-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"btn btn-default\" type=\"submit\" name=\"fld_6301996\" id=\"fld_6301996_1\" value=\"Enviar\" data-field=\"fld_6301996\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_1\" type=\"hidden\" name=\"fld_6301996\" id=\"fld_6301996_1_btn\" value=\"\" data-field=\"fld_6301996\"  \/>\n<\/div><\/div><div id=\"CF5f8f43b07b4ab_1-row-9\"  class=\"row  last_row\"><div  class=\"col-sm-12  single\"><div class=\"\"><p><Font size=\"1\"><center>Las IAFAS, IPRESS O UGIPRESS deben atender el reclamo en un plazo de 30 dias habiles. \"Estimado Usuario: Usted puede presentar su denuncia ante SUSALUD ante hechos o actos que vulneren o pudieran vulnerar el derecho a la salud, o cuando no le hayan brindado un servicio, prestaci\u00f3n o coberturas solicitadas o recibidas de las IAFAS O IPRESS o que dependan de las UGIPRESS p\u00fablica, privada o mixtas, tambi\u00e9n ante la negativa de atenci\u00f3n de su reclamo, irregularidad en su tramitaci\u00f3n o disconformidad con el resultado del mismo o hacer uso de los mecanismos alternativos de soluci\u00f3n de controversias ante el Centro de Conciliaci\u00f3n y Arbitraje - CECONAR de SUSALUD\"<\/font><\/center><\/p>\n<\/div><\/div><\/div><\/form>\r\n<\/div>\r\n\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/p>\n<div class=\"pvc_clear\"><\/div>\n<p id=\"pvc_stats_1278\" class=\"pvc_stats all  \" data-element-id=\"1278\" style=\"\"><i class=\"pvc-stats-icon medium\" aria-hidden=\"true\"><svg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"chart-bar\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\" class=\"svg-inline--fa fa-chart-bar fa-w-16 fa-2x\"><path fill=\"currentColor\" d=\"M396.8 352h22.4c6.4 0 12.8-6.4 12.8-12.8V108.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v230.4c0 6.4 6.4 12.8 12.8 12.8zm-192 0h22.4c6.4 0 12.8-6.4 12.8-12.8V140.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v198.4c0 6.4 6.4 12.8 12.8 12.8zm96 0h22.4c6.4 0 12.8-6.4 12.8-12.8V204.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v134.4c0 6.4 6.4 12.8 12.8 12.8zM496 400H48V80c0-8.84-7.16-16-16-16H16C7.16 64 0 71.16 0 80v336c0 17.67 14.33 32 32 32h464c8.84 0 16-7.16 16-16v-16c0-8.84-7.16-16-16-16zm-387.2-48h22.4c6.4 0 12.8-6.4 12.8-12.8v-70.4c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v70.4c0 6.4 6.4 12.8 12.8 12.8z\" class=\"\"><\/path><\/svg><\/i> <img decoding=\"async\" width=\"16\" height=\"16\" alt=\"Loading\" src=\"https:\/\/site.hsr.gob.pe\/wp-content\/plugins\/page-views-count\/ajax-loader-2x.gif\" border=0 \/><\/p>\n<div class=\"pvc_clear\"><\/div>\n","protected":false},"excerpt":{"rendered":"<div class=\"pvc_clear\"><\/div>\n<p id=\"pvc_stats_1278\" class=\"pvc_stats all  \" data-element-id=\"1278\" style=\"\"><i class=\"pvc-stats-icon medium\" aria-hidden=\"true\"><svg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"chart-bar\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\" class=\"svg-inline--fa fa-chart-bar fa-w-16 fa-2x\"><path fill=\"currentColor\" d=\"M396.8 352h22.4c6.4 0 12.8-6.4 12.8-12.8V108.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v230.4c0 6.4 6.4 12.8 12.8 12.8zm-192 0h22.4c6.4 0 12.8-6.4 12.8-12.8V140.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v198.4c0 6.4 6.4 12.8 12.8 12.8zm96 0h22.4c6.4 0 12.8-6.4 12.8-12.8V204.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v134.4c0 6.4 6.4 12.8 12.8 12.8zM496 400H48V80c0-8.84-7.16-16-16-16H16C7.16 64 0 71.16 0 80v336c0 17.67 14.33 32 32 32h464c8.84 0 16-7.16 16-16v-16c0-8.84-7.16-16-16-16zm-387.2-48h22.4c6.4 0 12.8-6.4 12.8-12.8v-70.4c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v70.4c0 6.4 6.4 12.8 12.8 12.8z\" class=\"\"><\/path><\/svg><\/i> <img decoding=\"async\" width=\"16\" height=\"16\" alt=\"Loading\" src=\"https:\/\/site.hsr.gob.pe\/wp-content\/plugins\/page-views-count\/ajax-loader-2x.gif\" border=0 \/><\/p>\n<div class=\"pvc_clear\"><\/div>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-1278","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - 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