{"id":379,"date":"2022-07-22T11:55:41","date_gmt":"2022-07-22T16:55:41","guid":{"rendered":"https:\/\/cuidadoseguro.com.co\/csc3\/?page_id=379"},"modified":"2023-02-23T15:03:16","modified_gmt":"2023-02-23T20:03:16","slug":"pqs","status":"publish","type":"page","link":"https:\/\/cuidadoseguro.com.co\/csc3\/pqs\/","title":{"rendered":"PQS"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"379\" class=\"elementor elementor-379\" data-elementor-settings=\"{&quot;ha_cmc_init_switcher&quot;:&quot;no&quot;}\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-97a883 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"97a883\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\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-53126af3\" data-id=\"53126af3\" 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-617bfe7e elementor-widget elementor-widget-heading\" data-id=\"617bfe7e\" data-element_type=\"widget\" data-e-type=\"widget\" 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\">BUZON VIRTUAL<\/h2>\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 class=\"elementor-section elementor-top-section elementor-element elementor-element-4e15bb68 elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"4e15bb68\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\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-6574f5f8\" data-id=\"6574f5f8\" 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-c9534a6 elementor-widget elementor-widget-metform\" data-id=\"c9534a6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"metform.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"mf-response-props-id-452\" data-previous-steps-style=\"\" data-editswitchopen=\"\" data-response_type=\"alert\" data-erroricon=\"fas fa-exclamation-triangle\" data-successicon=\"fas fa-check\" data-messageposition=\"top\" class=\"   mf-scroll-top-no\">\n\t\t<div class=\"formpicker_warper formpicker_warper_editable\" data-metform-formpicker-key=\"452\" >\n\t\t\t\t\n\t\t\t<div class=\"mf-widget-container\">\n\t\t\t\t\r\n\t\t<div\r\n\t\t\tid=\"metform-wrap-c9534a6-452\"\r\n\t\t\tclass=\"mf-form-wrapper\"\r\n\t\t\tdata-form-id=\"452\"\r\n\t\t\tdata-action=\"https:\/\/cuidadoseguro.com.co\/csc3\/wp-json\/metform\/v1\/entries\/insert\/452\"\r\n\t\t\tdata-wp-nonce=\"8d711a2040\"\r\n\t\t\tdata-form-nonce=\"73ef616865\"\r\n\t\t\tdata-quiz-summery = \"false\"\r\n\t\t\tdata-save-progress = \"false\"\r\n\t\t\tdata-form-type=\"contact_form\"\r\n\t\t\tdata-stop-vertical-effect=\"\"\r\n\t\t\t><\/div>\r\n\r\n\r\n\t\t<!----------------------------- \r\n\t\t\t* controls_data : find the the props passed indie of data attribute\r\n\t\t\t* props.SubmitResponseMarkup : contains the markup of error or success message\r\n\t\t\t* https:\/\/developer.mozilla.org\/en-US\/docs\/Web\/JavaScript\/Reference\/Template_literals\r\n\t\t--------------------------- -->\r\n\r\n\t\t\t\t<script type=\"text\/mf\" class=\"mf-template\">\r\n\t\t\tfunction controls_data (value){\r\n\t\t\t\tlet currentWrapper = \"mf-response-props-id-452\";\r\n\t\t\t\tlet currentEl = document.getElementById(currentWrapper);\r\n\t\t\t\t\r\n\t\t\t\treturn currentEl ? currentEl.dataset[value] : false\r\n\t\t\t}\r\n\r\n\r\n\t\t\tlet is_edit_mode = '' ? true : false;\r\n\t\t\tlet message_position = controls_data('messageposition') || 'top';\r\n\r\n\t\t\t\r\n\t\t\tlet message_successIcon = controls_data('successicon') || '';\r\n\t\t\tlet message_errorIcon = controls_data('erroricon') || '';\r\n\t\t\tlet message_editSwitch = controls_data('editswitchopen') === 'yes' ? true : false;\r\n\t\t\tlet message_proClass = controls_data('editswitchopen') === 'yes' ? 'mf_pro_activated' : '';\r\n\t\t\t\r\n\t\t\tlet is_dummy_markup = is_edit_mode && message_editSwitch ? true : false;\r\n\r\n\t\t\t\r\n\t\t\treturn html`\r\n\t\t\t\t<form\r\n\t\t\t\t\tclassName=\"metform-form-content\"\r\n\t\t\t\t\tref=${parent.formContainerRef}\r\n\t\t\t\t\tonSubmit=${ validation.handleSubmit( parent.handleFormSubmit ) }\r\n\t\t\t\t\r\n\t\t\t\t\t>\r\n\t\t\t\r\n\t\t\t\r\n\t\t\t\t\t${is_dummy_markup ? message_position === 'top' ?  props.ResponseDummyMarkup(message_successIcon, message_proClass) : '' : ''}\r\n\t\t\t\t\t${is_dummy_markup ? ' ' :  message_position === 'top' ? props.SubmitResponseMarkup`${parent}${state}${message_successIcon}${message_errorIcon}${message_proClass}` : ''}\r\n\r\n\t\t\t\t\t<!--------------------------------------------------------\r\n\t\t\t\t\t*** IMPORTANT \/ DANGEROUS ***\r\n\t\t\t\t\t${html``} must be used as in immediate child of \"metform-form-main-wrapper\"\r\n\t\t\t\t\tclass otherwise multistep form will not run at all\r\n\t\t\t\t\t---------------------------------------------------------->\r\n\r\n\t\t\t\t\t<div className=\"metform-form-main-wrapper\" key=${'hide-form-after-submit'} ref=${parent.formRef}>\r\n\t\t\t\t\t${html`\r\n\t\t\t\t\t\t\t\t<div data-elementor-type=\"wp-post\" key=\"2\" data-elementor-id=\"452\" className=\"elementor elementor-452\" data-elementor-settings=\"{&quot;ha_cmc_init_switcher&quot;:&quot;no&quot;}\" data-elementor-post-type=\"metform-form\">\n\t\t\t\t\t\t<section className=\"elementor-section elementor-top-section elementor-element elementor-element-43ceef22 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"43ceef22\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t\t<div className=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div className=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div className=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6773132d\" data-id=\"6773132d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-9840222 elementor-widget elementor-widget-spacer\" data-id=\"9840222\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div className=\"elementor-spacer\">\n\t\t\t<div className=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-663b50e elementor-widget elementor-widget-heading\" data-id=\"663b50e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t<h2 className=\"elementor-heading-title elementor-size-default\">\u00a1Amamos Cuidarte!<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-b51a61b elementor-widget elementor-widget-spacer\" data-id=\"b51a61b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div className=\"elementor-spacer\">\n\t\t\t<div className=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-60cdda8 elementor-widget elementor-widget-heading\" data-id=\"60cdda8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t<h4 className=\"elementor-heading-title elementor-size-default\">Datos Del Usuario<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section className=\"elementor-section elementor-inner-section elementor-element elementor-element-4ec9772a elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"4ec9772a\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div className=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div className=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-5a2e414b\" data-id=\"5a2e414b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-a79433a elementor-widget elementor-widget-mf-text\" data-id=\"a79433a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-first-name&quot;}\" data-widget_type=\"mf-text.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-text-a79433a\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Nombres`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<input\r\n\t\t\t\ttype=\"text\"\r\n\t\t\t\tclassName=\"mf-input \"\r\n\t\t\t\tid=\"mf-input-text-a79433a\"\r\n\t\t\t\tname=\"mf-first-name\"\r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(``) } \"\r\n\t\t\t\t\t\t\t\t\tonInput=${parent.handleChange}\r\n\t\t\t\t\tonBlur=${parent.handleChange}\r\n\t\t\t\t\taria-invalid=${validation.errors['mf-first-name'] ? 'true' : 'false'}\r\n\t\t\t\t\tref=${el =>{\r\n\t\t\t\t\t\t\t\t\t\t\t\tparent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true,\"expression\":\"null\"}, el)\r\n\t\t\t\t\t}}\r\n\t\t\t\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"mf-first-name\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\r\n\t\t\t<span className=\"mf-input-help\"> ${ parent.decodeEntities(`Ingrese su nombre`) }  <\/span>\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-78298cd4 elementor-widget elementor-widget-mf-select\" data-id=\"78298cd4\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-documento-tipo&quot;,&quot;mf_input_list&quot;:[{&quot;mf_input_option_text&quot;:&quot;CEDULA DE CIUDADANIA&quot;,&quot;mf_input_option_value&quot;:&quot;C\\u00e9dula de Ciudadan\\u00eda&quot;,&quot;mf_input_option_status&quot;:&quot;disabled&quot;,&quot;_id&quot;:&quot;7d0ce81&quot;,&quot;mf_input_option_selected&quot;:&quot;selected&quot;},{&quot;mf_input_option_text&quot;:&quot;C\\u00c9DULA DE EXTRANGER\\u00cdA&quot;,&quot;mf_input_option_value&quot;:&quot;C\\u00c9DULA DE EXTRANGER\\u00cdA&quot;,&quot;_id&quot;:&quot;21364bb&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;TARJETA DE IDENTIDAD&quot;,&quot;mf_input_option_value&quot;:&quot;TARJETA DE IDENTIDAD&quot;,&quot;_id&quot;:&quot;e821a30&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;PERMISO ESPECIAL DE PERMANENCIA&quot;,&quot;mf_input_option_value&quot;:&quot;PERMISO ESPECIAL DE PERMANENCIA&quot;,&quot;_id&quot;:&quot;03640f9&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;REGISTRO CIVIL&quot;,&quot;mf_input_option_value&quot;:&quot;REGISTRO CIVIL&quot;,&quot;_id&quot;:&quot;511b5b2&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;}]}\" data-widget_type=\"mf-select.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t\n\t\t<div className=\"mf-input-wrapper\">\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-select-78298cd4\">\n\t\t\t\t\t${ parent.decodeEntities(`Tipo de Documento`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\n\t\t\t\t<\/label>\n            \n            <${props.Select}\n                className=${\"mf-input mf-input-select  \" + ( validation.errors['mf-documento-tipo'] ? 'mf-invalid' : '' )}\n                classNamePrefix=\"mf_select\"\n                name=\"mf-documento-tipo\"\n                placeholder=\"${ parent.decodeEntities(`Seleccione`) } \"\n                isSearchable=${false}\n                options=${[{\"label\":\"CEDULA DE CIUDADANIA\",\"value\":\"C\\u00e9dula de Ciudadan\\u00eda\",\"isDisabled\":true},{\"label\":\"C\\u00c9DULA DE EXTRANGER\\u00cdA\",\"value\":\"C\\u00c9DULA DE EXTRANGER\\u00cdA\",\"isDisabled\":false},{\"label\":\"TARJETA DE IDENTIDAD\",\"value\":\"TARJETA DE IDENTIDAD\",\"isDisabled\":false},{\"label\":\"PERMISO ESPECIAL DE PERMANENCIA\",\"value\":\"PERMISO ESPECIAL DE PERMANENCIA\",\"isDisabled\":false},{\"label\":\"REGISTRO CIVIL\",\"value\":\"REGISTRO CIVIL\",\"isDisabled\":false}]}\n                value=${parent.getValue(\"mf-documento-tipo\") ? [{\"label\":\"CEDULA DE CIUDADANIA\",\"value\":\"C\\u00e9dula de Ciudadan\\u00eda\",\"isDisabled\":true},{\"label\":\"C\\u00c9DULA DE EXTRANGER\\u00cdA\",\"value\":\"C\\u00c9DULA DE EXTRANGER\\u00cdA\",\"isDisabled\":false},{\"label\":\"TARJETA DE IDENTIDAD\",\"value\":\"TARJETA DE IDENTIDAD\",\"isDisabled\":false},{\"label\":\"PERMISO ESPECIAL DE PERMANENCIA\",\"value\":\"PERMISO ESPECIAL DE PERMANENCIA\",\"isDisabled\":false},{\"label\":\"REGISTRO CIVIL\",\"value\":\"REGISTRO CIVIL\",\"isDisabled\":false}].filter(item => item.value === parent.getValue(\"mf-documento-tipo\"))[0] : {\"label\":\"CEDULA DE CIUDADANIA\",\"value\":\"C\\u00e9dula de Ciudadan\\u00eda\",\"isDisabled\":true}}\n                onChange=${(e)=> parent.handleSelect(e, \"mf-documento-tipo\")}\n                ref=${() => {\n\t\t\t\t                    register({ name: \"mf-documento-tipo\" }, parent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true}));\n                    if ( parent.getValue(\"mf-documento-tipo\") === '' && true ) {\n\t\t\t\t    parent.setValue( 'mf-documento-tipo', 'C\u00e9dula de Ciudadan\u00eda', true );\n                        parent.handleChange({\n                            target: {\n                                name: 'mf-documento-tipo',\n                                value: 'C\u00e9dula de Ciudadan\u00eda'\n                            }\n                        });\n                    }\n                }}\n                \/>\n\n            \t\t\t\t<${validation.ErrorMessage}\n\t\t\t\t\terrors=${validation.errors}\n\t\t\t\t\tname=\"mf-documento-tipo\"\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\n\t\t\t\t\t\/>\n\t\t\t\t\t\t<span className=\"mf-input-help\"> ${ parent.decodeEntities(`Seleccione le tipo de documento`) }  <\/span>\t\t<\/div>\n\n\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-fe89204 elementor-widget elementor-widget-mf-select\" data-id=\"fe89204\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-services&quot;,&quot;mf_input_list&quot;:[{&quot;mf_input_option_text&quot;:&quot;TERAPIAS FISICAS&quot;,&quot;mf_input_option_value&quot;:&quot;TERAPIAS FISICAS&quot;,&quot;mf_input_option_status&quot;:&quot;disabled&quot;,&quot;_id&quot;:&quot;7d0ce81&quot;,&quot;mf_input_option_selected&quot;:&quot;selected&quot;},{&quot;mf_input_option_text&quot;:&quot;TERAPIAS OCUPACIONALES&quot;,&quot;mf_input_option_value&quot;:&quot;TERAPIAS OCUPACIONALES&quot;,&quot;_id&quot;:&quot;21364bb&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;TERAPIAS RESPIRATORIAS&quot;,&quot;mf_input_option_value&quot;:&quot;TERAPIAS RESPIRATORIAS&quot;,&quot;_id&quot;:&quot;e821a30&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;TERAPIAS FONOAUDIOLOGIA&quot;,&quot;mf_input_option_value&quot;:&quot;TERAPIAS FONOAUDIOLOGIA&quot;,&quot;_id&quot;:&quot;03640f9&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;MEDICINA GENERAL&quot;,&quot;mf_input_option_value&quot;:&quot;MEDICINA GENERAL&quot;,&quot;_id&quot;:&quot;c04bf37&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;CL\\u00cdNICA DE HERIDAS&quot;,&quot;mf_input_option_value&quot;:&quot;CL\\u00cdNICA DE HERIDAS&quot;,&quot;_id&quot;:&quot;2ea4445&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;LABORATORIOS&quot;,&quot;mf_input_option_value&quot;:&quot;LABORATORIOS&quot;,&quot;_id&quot;:&quot;62b9791&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;CUIDADOS BASICOS&quot;,&quot;mf_input_option_value&quot;:&quot;CUIDADOS BASICOS&quot;,&quot;_id&quot;:&quot;9f6b5da&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;ADMINISTRACI\\u00d3N DE MEDICAMENTOS&quot;,&quot;mf_input_option_value&quot;:&quot;ADMINISTRACI\\u00d3N DE MEDICAMENTOS&quot;,&quot;_id&quot;:&quot;be12788&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;CAMBIO DE SONDA&quot;,&quot;mf_input_option_value&quot;:&quot;CAMBIO DE SONDA&quot;,&quot;_id&quot;:&quot;3ae5b23&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;NUTRICI\\u00d3N&quot;,&quot;mf_input_option_value&quot;:&quot;NUTRICI\\u00d3N&quot;,&quot;_id&quot;:&quot;c1522a8&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;TRABAJO SOCIAL&quot;,&quot;mf_input_option_value&quot;:&quot;TRABAJO SOCIAL&quot;,&quot;_id&quot;:&quot;e786503&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;PSICOLOG\\u00cdA&quot;,&quot;mf_input_option_value&quot;:&quot;PSICOLOG\\u00cdA&quot;,&quot;_id&quot;:&quot;5a198cf&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;MIPRES&quot;,&quot;mf_input_option_value&quot;:&quot;MIPRES&quot;,&quot;_id&quot;:&quot;52c8e5d&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;SOPORTES CL\\u00cdNICOS Y PARACL\\u00cdNICOS&quot;,&quot;mf_input_option_value&quot;:&quot;SOPORTES CL\\u00cdNICOS Y PARACL\\u00cdNICOS&quot;,&quot;_id&quot;:&quot;f12aa5f&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;INFORMACI\\u00d3N&quot;,&quot;mf_input_option_value&quot;:&quot;INFORMACI\\u00d3N&quot;,&quot;_id&quot;:&quot;b8db923&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;}]}\" data-widget_type=\"mf-select.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t\n\t\t<div className=\"mf-input-wrapper\">\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-select-fe89204\">\n\t\t\t\t\t${ parent.decodeEntities(`Servicio`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\n\t\t\t\t<\/label>\n            \n            <${props.Select}\n                className=${\"mf-input mf-input-select  \" + ( validation.errors['mf-services'] ? 'mf-invalid' : '' )}\n                classNamePrefix=\"mf_select\"\n                name=\"mf-services\"\n                placeholder=\"${ parent.decodeEntities(`Seleccione`) } \"\n                isSearchable=${false}\n                options=${[{\"label\":\"TERAPIAS FISICAS\",\"value\":\"TERAPIAS FISICAS\",\"isDisabled\":true},{\"label\":\"TERAPIAS OCUPACIONALES\",\"value\":\"TERAPIAS OCUPACIONALES\",\"isDisabled\":false},{\"label\":\"TERAPIAS RESPIRATORIAS\",\"value\":\"TERAPIAS RESPIRATORIAS\",\"isDisabled\":false},{\"label\":\"TERAPIAS FONOAUDIOLOGIA\",\"value\":\"TERAPIAS FONOAUDIOLOGIA\",\"isDisabled\":false},{\"label\":\"MEDICINA GENERAL\",\"value\":\"MEDICINA GENERAL\",\"isDisabled\":false},{\"label\":\"CL\\u00cdNICA DE HERIDAS\",\"value\":\"CL\\u00cdNICA DE HERIDAS\",\"isDisabled\":false},{\"label\":\"LABORATORIOS\",\"value\":\"LABORATORIOS\",\"isDisabled\":false},{\"label\":\"CUIDADOS BASICOS\",\"value\":\"CUIDADOS BASICOS\",\"isDisabled\":false},{\"label\":\"ADMINISTRACI\\u00d3N DE MEDICAMENTOS\",\"value\":\"ADMINISTRACI\\u00d3N DE MEDICAMENTOS\",\"isDisabled\":false},{\"label\":\"CAMBIO DE SONDA\",\"value\":\"CAMBIO DE SONDA\",\"isDisabled\":false},{\"label\":\"NUTRICI\\u00d3N\",\"value\":\"NUTRICI\\u00d3N\",\"isDisabled\":false},{\"label\":\"TRABAJO SOCIAL\",\"value\":\"TRABAJO SOCIAL\",\"isDisabled\":false},{\"label\":\"PSICOLOG\\u00cdA\",\"value\":\"PSICOLOG\\u00cdA\",\"isDisabled\":false},{\"label\":\"MIPRES\",\"value\":\"MIPRES\",\"isDisabled\":false},{\"label\":\"SOPORTES CL\\u00cdNICOS Y PARACL\\u00cdNICOS\",\"value\":\"SOPORTES CL\\u00cdNICOS Y PARACL\\u00cdNICOS\",\"isDisabled\":false},{\"label\":\"INFORMACI\\u00d3N\",\"value\":\"INFORMACI\\u00d3N\",\"isDisabled\":false}]}\n                value=${parent.getValue(\"mf-services\") ? [{\"label\":\"TERAPIAS FISICAS\",\"value\":\"TERAPIAS FISICAS\",\"isDisabled\":true},{\"label\":\"TERAPIAS OCUPACIONALES\",\"value\":\"TERAPIAS OCUPACIONALES\",\"isDisabled\":false},{\"label\":\"TERAPIAS RESPIRATORIAS\",\"value\":\"TERAPIAS RESPIRATORIAS\",\"isDisabled\":false},{\"label\":\"TERAPIAS FONOAUDIOLOGIA\",\"value\":\"TERAPIAS FONOAUDIOLOGIA\",\"isDisabled\":false},{\"label\":\"MEDICINA GENERAL\",\"value\":\"MEDICINA GENERAL\",\"isDisabled\":false},{\"label\":\"CL\\u00cdNICA DE HERIDAS\",\"value\":\"CL\\u00cdNICA DE HERIDAS\",\"isDisabled\":false},{\"label\":\"LABORATORIOS\",\"value\":\"LABORATORIOS\",\"isDisabled\":false},{\"label\":\"CUIDADOS BASICOS\",\"value\":\"CUIDADOS BASICOS\",\"isDisabled\":false},{\"label\":\"ADMINISTRACI\\u00d3N DE MEDICAMENTOS\",\"value\":\"ADMINISTRACI\\u00d3N DE MEDICAMENTOS\",\"isDisabled\":false},{\"label\":\"CAMBIO DE SONDA\",\"value\":\"CAMBIO DE SONDA\",\"isDisabled\":false},{\"label\":\"NUTRICI\\u00d3N\",\"value\":\"NUTRICI\\u00d3N\",\"isDisabled\":false},{\"label\":\"TRABAJO SOCIAL\",\"value\":\"TRABAJO SOCIAL\",\"isDisabled\":false},{\"label\":\"PSICOLOG\\u00cdA\",\"value\":\"PSICOLOG\\u00cdA\",\"isDisabled\":false},{\"label\":\"MIPRES\",\"value\":\"MIPRES\",\"isDisabled\":false},{\"label\":\"SOPORTES CL\\u00cdNICOS Y PARACL\\u00cdNICOS\",\"value\":\"SOPORTES CL\\u00cdNICOS Y PARACL\\u00cdNICOS\",\"isDisabled\":false},{\"label\":\"INFORMACI\\u00d3N\",\"value\":\"INFORMACI\\u00d3N\",\"isDisabled\":false}].filter(item => item.value === parent.getValue(\"mf-services\"))[0] : {\"label\":\"TERAPIAS FISICAS\",\"value\":\"TERAPIAS FISICAS\",\"isDisabled\":true}}\n                onChange=${(e)=> parent.handleSelect(e, \"mf-services\")}\n                ref=${() => {\n\t\t\t\t                    register({ name: \"mf-services\" }, parent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true}));\n                    if ( parent.getValue(\"mf-services\") === '' && true ) {\n\t\t\t\t    parent.setValue( 'mf-services', 'TERAPIAS FISICAS', true );\n                        parent.handleChange({\n                            target: {\n                                name: 'mf-services',\n                                value: 'TERAPIAS FISICAS'\n                            }\n                        });\n                    }\n                }}\n                \/>\n\n            \t\t\t\t<${validation.ErrorMessage}\n\t\t\t\t\terrors=${validation.errors}\n\t\t\t\t\tname=\"mf-services\"\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\n\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-579c056c elementor-widget elementor-widget-mf-date\" data-id=\"579c056c\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-date-of-birth&quot;}\" data-widget_type=\"mf-date.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-date-579c056c\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Fecha de la ocurrencia`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<${props.Flatpickr}\r\n\t\t\t\t\tname=\"mf-date-of-birth\"\r\n\t\t\t\t\tclassName=\"mf-input mf-date-input mf-left-parent  \"\r\n\t\t\t\t\tplaceholder=\"${ parent.decodeEntities(`MM - DD - YYYY`) } \"\r\n\t\t\t\t\toptions=${{\"minDate\":\"\",\"maxDate\":\"\",\"dateFormat\":\"m-d-Y\",\"enableTime\":\"\",\"disable\":[],\"mode\":\"single\",\"static\":true,\"disableMobile\":true,\"time_24hr\":false}}\r\n\t\t\t\t\tvalue=${parent.getValue('mf-date-of-birth')}\r\n\t\t\t\t\tonInput=${parent.handleDateTime}\r\n\t\t\t\t\taria-invalid=${validation.errors['mf-date-of-birth'] ? 'true' : 'false'}\r\n\t\t\t\t\tref=${el => props.DateWidget(\r\n\t\t\t\t\t\t\tel, \r\n\t\t\t\t\t\t\t'', \r\n\t\t\t\t\t\t\t{\"message\":\"This field is required.\",\"required\":true},  \r\n\t\t\t\t\t\t\tregister, \r\n\t\t\t\t\t\t\tparent \r\n\t\t\t\t\t\t)}\r\n\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"mf-date-of-birth\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\r\n\t\t\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-3ef8df9 elementor-widget elementor-widget-mf-select\" data-id=\"3ef8df9\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-services&quot;,&quot;mf_input_list&quot;:[{&quot;mf_input_option_text&quot;:&quot;PETICI\\u00d3N&quot;,&quot;mf_input_option_value&quot;:&quot;PETICION&quot;,&quot;mf_input_option_status&quot;:&quot;disabled&quot;,&quot;_id&quot;:&quot;7d0ce81&quot;,&quot;mf_input_option_selected&quot;:&quot;selected&quot;},{&quot;mf_input_option_text&quot;:&quot;QUEJA&quot;,&quot;mf_input_option_value&quot;:&quot;QUEJA&quot;,&quot;_id&quot;:&quot;21364bb&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;SUGERENCIA&quot;,&quot;mf_input_option_value&quot;:&quot;SUGERENCIA&quot;,&quot;_id&quot;:&quot;e821a30&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;mf_input_option_text&quot;:&quot;FELICITACIONES&quot;,&quot;mf_input_option_value&quot;:&quot;FELICITACIONES&quot;,&quot;_id&quot;:&quot;03640f9&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;_id&quot;:&quot;4a64baf&quot;,&quot;mf_input_option_text&quot;:&quot;MIPRES&quot;,&quot;mf_input_option_value&quot;:&quot;MIPRES&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;_id&quot;:&quot;f47303c&quot;,&quot;mf_input_option_text&quot;:&quot;LABORATORIO&quot;,&quot;mf_input_option_value&quot;:&quot;LABORATORIO&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;},{&quot;_id&quot;:&quot;bb3f280&quot;,&quot;mf_input_option_text&quot;:&quot;HISTORIAS CL\\u00cdNICAS&quot;,&quot;mf_input_option_value&quot;:&quot;Input Value&quot;,&quot;mf_input_option_status&quot;:&quot;&quot;,&quot;mf_input_option_selected&quot;:&quot;&quot;}]}\" data-widget_type=\"mf-select.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t\n\t\t<div className=\"mf-input-wrapper\">\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-select-3ef8df9\">\n\t\t\t\t\t${ parent.decodeEntities(`Seleccione el tipo de solicitud`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\n\t\t\t\t<\/label>\n            \n            <${props.Select}\n                className=${\"mf-input mf-input-select  \" + ( validation.errors['mf-services'] ? 'mf-invalid' : '' )}\n                classNamePrefix=\"mf_select\"\n                name=\"mf-services\"\n                placeholder=\"${ parent.decodeEntities(`Seleccione`) } \"\n                isSearchable=${false}\n                options=${[{\"label\":\"PETICI\\u00d3N\",\"value\":\"PETICION\",\"isDisabled\":true},{\"label\":\"QUEJA\",\"value\":\"QUEJA\",\"isDisabled\":false},{\"label\":\"SUGERENCIA\",\"value\":\"SUGERENCIA\",\"isDisabled\":false},{\"label\":\"FELICITACIONES\",\"value\":\"FELICITACIONES\",\"isDisabled\":false},{\"label\":\"MIPRES\",\"value\":\"MIPRES\",\"isDisabled\":false},{\"label\":\"LABORATORIO\",\"value\":\"LABORATORIO\",\"isDisabled\":false},{\"label\":\"HISTORIAS CL\\u00cdNICAS\",\"value\":\"Input Value\",\"isDisabled\":false}]}\n                value=${parent.getValue(\"mf-services\") ? [{\"label\":\"PETICI\\u00d3N\",\"value\":\"PETICION\",\"isDisabled\":true},{\"label\":\"QUEJA\",\"value\":\"QUEJA\",\"isDisabled\":false},{\"label\":\"SUGERENCIA\",\"value\":\"SUGERENCIA\",\"isDisabled\":false},{\"label\":\"FELICITACIONES\",\"value\":\"FELICITACIONES\",\"isDisabled\":false},{\"label\":\"MIPRES\",\"value\":\"MIPRES\",\"isDisabled\":false},{\"label\":\"LABORATORIO\",\"value\":\"LABORATORIO\",\"isDisabled\":false},{\"label\":\"HISTORIAS CL\\u00cdNICAS\",\"value\":\"Input Value\",\"isDisabled\":false}].filter(item => item.value === parent.getValue(\"mf-services\"))[0] : {\"label\":\"PETICI\\u00d3N\",\"value\":\"PETICION\",\"isDisabled\":true}}\n                onChange=${(e)=> parent.handleSelect(e, \"mf-services\")}\n                ref=${() => {\n\t\t\t\t                    register({ name: \"mf-services\" }, parent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true}));\n                    if ( parent.getValue(\"mf-services\") === '' && true ) {\n\t\t\t\t    parent.setValue( 'mf-services', 'PETICION', true );\n                        parent.handleChange({\n                            target: {\n                                name: 'mf-services',\n                                value: 'PETICION'\n                            }\n                        });\n                    }\n                }}\n                \/>\n\n            \t\t\t\t<${validation.ErrorMessage}\n\t\t\t\t\terrors=${validation.errors}\n\t\t\t\t\tname=\"mf-services\"\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\n\t\t\t\t\t\/>\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-44b53b5 elementor-widget elementor-widget-mf-text\" data-id=\"44b53b5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"mf-text.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-text-44b53b5\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Nombre de quien reporta`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<input\r\n\t\t\t\ttype=\"text\"\r\n\t\t\t\tclassName=\"mf-input \"\r\n\t\t\t\tid=\"mf-input-text-44b53b5\"\r\n\t\t\t\tname=\"\"\r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(``) } \"\r\n\t\t\t\t\t\t\t\t\tonInput=${parent.handleChange}\r\n\t\t\t\t\tonBlur=${parent.handleChange}\r\n\t\t\t\t\taria-invalid=${validation.errors[''] ? 'true' : 'false'}\r\n\t\t\t\t\tref=${el =>{\r\n\t\t\t\t\t\t\t\t\t\t\t\tparent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true,\"expression\":\"null\"}, el)\r\n\t\t\t\t\t}}\r\n\t\t\t\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-5741df5 elementor-widget elementor-widget-mf-telephone\" data-id=\"5741df5\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-telephone&quot;}\" data-widget_type=\"mf-telephone.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<div className=\"mf-input-wrapper\">\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-telephone-5741df5\">\n\t\t\t\t\t${ parent.decodeEntities(`Tel\u00e9fono`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\n\t\t\t\t<\/label>\n\t\t\t\n\t\t\t<input\n\t\t\t\ttype=\"tel\"\n\t\t\t\tclassName=\"mf-input \"\n\t\t\t\tid=\"mf-input-telephone-5741df5\" \n\t\t\t\tname=\"mf-telephone\"\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(`Telefono`) } \"\n\t\t\t\t\t\t\t\t\tonInput=${parent.handleChange}\n\t\t\t\t\taria-invalid=${validation.errors['mf-telephone'] ? 'true' : 'false'}\n\t\t\t\t\tref=${el => parent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true,\"expression\":\"null\"}, el)}\n\t\t\t\t\t\t\t\t\/>\n\t\t\t\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\n\t\t\t\t\terrors=${validation.errors}\n\t\t\t\t\tname=\"mf-telephone\"\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\n\t\t\t\t\t\/>\n\t\t\t\n\t\t\t\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div className=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-50092805\" data-id=\"50092805\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-75bf433b elementor-widget elementor-widget-mf-text\" data-id=\"75bf433b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-last-name&quot;}\" data-widget_type=\"mf-text.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-text-75bf433b\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Apellidos`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<input\r\n\t\t\t\ttype=\"text\"\r\n\t\t\t\tclassName=\"mf-input \"\r\n\t\t\t\tid=\"mf-input-text-75bf433b\"\r\n\t\t\t\tname=\"mf-last-name\"\r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(``) } \"\r\n\t\t\t\t\t\t\t\t\tonInput=${parent.handleChange}\r\n\t\t\t\t\tonBlur=${parent.handleChange}\r\n\t\t\t\t\taria-invalid=${validation.errors['mf-last-name'] ? 'true' : 'false'}\r\n\t\t\t\t\tref=${el =>{\r\n\t\t\t\t\t\t\t\t\t\t\t\tparent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true,\"expression\":\"null\"}, el)\r\n\t\t\t\t\t}}\r\n\t\t\t\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"mf-last-name\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\r\n\t\t\t<span className=\"mf-input-help\"> ${ parent.decodeEntities(`Ingrese sus apellidos`) }  <\/span>\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-7cffad4a elementor-widget elementor-widget-mf-telephone\" data-id=\"7cffad4a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;ndd&quot;}\" data-widget_type=\"mf-telephone.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<div className=\"mf-input-wrapper\">\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-telephone-7cffad4a\">\n\t\t\t\t\t${ parent.decodeEntities(`N\u00famero de documento`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\n\t\t\t\t<\/label>\n\t\t\t\n\t\t\t<input\n\t\t\t\ttype=\"tel\"\n\t\t\t\tclassName=\"mf-input \"\n\t\t\t\tid=\"mf-input-telephone-7cffad4a\" \n\t\t\t\tname=\"ndd\"\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(``) } \"\n\t\t\t\t\t\t\t\t\tonInput=${parent.handleChange}\n\t\t\t\t\taria-invalid=${validation.errors['ndd'] ? 'true' : 'false'}\n\t\t\t\t\tref=${el => parent.activateValidation({\"message\":\"This field is required.\",\"minLength\":\"\",\"maxLength\":\"\",\"type\":\"by_character_length\",\"required\":true,\"expression\":\"null\"}, el)}\n\t\t\t\t\t\t\t\t\/>\n\t\t\t\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\n\t\t\t\t\terrors=${validation.errors}\n\t\t\t\t\tname=\"ndd\"\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\n\t\t\t\t\t\/>\n\t\t\t\n\t\t\t<span className=\"mf-input-help\"> ${ parent.decodeEntities(`Ingrese su numero de documento`) }  <\/span>\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-bc5b2f0 elementor-widget elementor-widget-mf-telephone\" data-id=\"bc5b2f0\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-phone&quot;}\" data-widget_type=\"mf-telephone.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<div className=\"mf-input-wrapper\">\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-telephone-bc5b2f0\">\n\t\t\t\t\t${ parent.decodeEntities(`N\u00famero de tel\u00e9fono`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\n\t\t\t\t<\/label>\n\t\t\t\n\t\t\t<input\n\t\t\t\ttype=\"tel\"\n\t\t\t\tclassName=\"mf-input \"\n\t\t\t\tid=\"mf-input-telephone-bc5b2f0\" \n\t\t\t\tname=\"mf-phone\"\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(``) } \"\n\t\t\t\t\t\t\t\t\tonInput=${parent.handleChange}\n\t\t\t\t\taria-invalid=${validation.errors['mf-phone'] ? 'true' : 'false'}\n\t\t\t\t\tref=${el => parent.activateValidation({\"message\":\"This field is required.\",\"minLength\":\"\",\"maxLength\":\"\",\"type\":\"by_character_length\",\"required\":true,\"expression\":\"null\"}, el)}\n\t\t\t\t\t\t\t\t\/>\n\t\t\t\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\n\t\t\t\t\terrors=${validation.errors}\n\t\t\t\t\tname=\"mf-phone\"\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\n\t\t\t\t\t\/>\n\t\t\t\n\t\t\t<span className=\"mf-input-help\"> ${ parent.decodeEntities(`Ejemplo: 300 3246543`) }  <\/span>\n\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-3909ee64 elementor-widget elementor-widget-mf-email\" data-id=\"3909ee64\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-email&quot;}\" data-widget_type=\"mf-email.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-email-3909ee64\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Correo`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<input \r\n\t\t\t\ttype=\"email\" \r\n\t\t\t\t \r\n\t\t\t\tdefaultValue=\"\" \r\n\t\t\t\tclassName=\"mf-input \" \r\n\t\t\t\tid=\"mf-input-email-3909ee64\" \r\n\t\t\t\tname=\"mf-email\" \r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(``) } \" \r\n\t\t\t\t \r\n\t\t\t\tonBlur=${parent.handleChange} onFocus=${parent.handleChange} aria-invalid=${validation.errors['mf-email'] ? 'true' : 'false' } \r\n\t\t\t\tref=${el=> parent.activateValidation({\"message\":\"This field is required.\",\"emailMessage\":\"Please enter a valid Email address\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true,\"expression\":\"null\"}, el)}\r\n\t\t\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t<${validation.ErrorMessage} \r\n\t\t\t\terrors=${validation.errors} \r\n\t\t\t\tname=\"mf-email\" \r\n\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\/>\r\n\t\t\t\r\n\t\t\t<span className=\"mf-input-help\"> ${ parent.decodeEntities(`Example: usuario@dominio.com`) }  <\/span>\t\t<\/div>\r\n\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-19aa6c1 elementor-widget elementor-widget-mf-text\" data-id=\"19aa6c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-text&quot;}\" data-widget_type=\"mf-text.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-text-19aa6c1\">\r\n\t\t\t\t\t${ parent.decodeEntities(`RADIQUE AQU\u00cd SU PQSF`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\"><\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<input\r\n\t\t\t\ttype=\"text\"\r\n\t\t\t\tclassName=\"mf-input \"\r\n\t\t\t\tid=\"mf-input-text-19aa6c1\"\r\n\t\t\t\tname=\"mf-text\"\r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(`Escriba aqui su petici\u00f3n, queja, sugerencia o felicitaci\u00f3n`) } \"\r\n\t\t\t\t\t\t\t\t\tonInput=${parent.handleChange}\r\n\t\t\t\t\tonBlur=${parent.handleChange}\r\n\t\t\t\t\taria-invalid=${validation.errors['mf-text'] ? 'true' : 'false'}\r\n\t\t\t\t\tref=${el =>{\r\n\t\t\t\t\t\t\t\t\t\t\t\tparent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":false,\"expression\":\"null\"}, el)\r\n\t\t\t\t\t}}\r\n\t\t\t\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"mf-text\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-48b77eb elementor-widget elementor-widget-mf-text\" data-id=\"48b77eb\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-text&quot;}\" data-widget_type=\"mf-text.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-text-48b77eb\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Cedula`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<input\r\n\t\t\t\ttype=\"text\"\r\n\t\t\t\tclassName=\"mf-input \"\r\n\t\t\t\tid=\"mf-input-text-48b77eb\"\r\n\t\t\t\tname=\"mf-text\"\r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(`Docuemento de identidad`) } \"\r\n\t\t\t\t\t\t\t\t\tonInput=${parent.handleChange}\r\n\t\t\t\t\tonBlur=${parent.handleChange}\r\n\t\t\t\t\taria-invalid=${validation.errors['mf-text'] ? 'true' : 'false'}\r\n\t\t\t\t\tref=${el =>{\r\n\t\t\t\t\t\t\t\t\t\t\t\tparent.activateValidation({\"message\":\"This field is required.\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true,\"expression\":\"null\"}, el)\r\n\t\t\t\t\t}}\r\n\t\t\t\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t\t<${validation.ErrorMessage}\r\n\t\t\t\t\terrors=${validation.errors}\r\n\t\t\t\t\tname=\"mf-text\"\r\n\t\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\t\t\/>\r\n\t\t\t\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div className=\"elementor-element elementor-element-61cb1f0 elementor-widget elementor-widget-mf-email\" data-id=\"61cb1f0\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;mf_input_name&quot;:&quot;mf-email&quot;}\" data-widget_type=\"mf-email.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div className=\"mf-input-wrapper\">\r\n\t\t\t\t\t\t\t<label className=\"mf-input-label\" htmlFor=\"mf-input-email-61cb1f0\">\r\n\t\t\t\t\t${ parent.decodeEntities(`Correo`) } \t\t\t\t\t<span className=\"mf-input-required-indicator\">*<\/span>\r\n\t\t\t\t<\/label>\r\n\t\t\t\r\n\t\t\t<input \r\n\t\t\t\ttype=\"email\" \r\n\t\t\t\t \r\n\t\t\t\tdefaultValue=\"\" \r\n\t\t\t\tclassName=\"mf-input \" \r\n\t\t\t\tid=\"mf-input-email-61cb1f0\" \r\n\t\t\t\tname=\"mf-email\" \r\n\t\t\t\tplaceholder=\"${ parent.decodeEntities(`Correo`) } \" \r\n\t\t\t\t \r\n\t\t\t\tonBlur=${parent.handleChange} onFocus=${parent.handleChange} aria-invalid=${validation.errors['mf-email'] ? 'true' : 'false' } \r\n\t\t\t\tref=${el=> parent.activateValidation({\"message\":\"This field is required.\",\"emailMessage\":\"Please enter a valid Email address\",\"minLength\":1,\"maxLength\":\"\",\"type\":\"none\",\"required\":true,\"expression\":\"null\"}, el)}\r\n\t\t\t\t\t\t\t\/>\r\n\r\n\t\t\t\t\t\t<${validation.ErrorMessage} \r\n\t\t\t\terrors=${validation.errors} \r\n\t\t\t\tname=\"mf-email\" \r\n\t\t\t\tas=${html`<span className=\"mf-error-message\"><\/span>`}\r\n\t\t\t\/>\r\n\t\t\t\r\n\t\t\t\t\t<\/div>\r\n\r\n\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 className=\"elementor-section elementor-inner-section elementor-element elementor-element-1a2ce9cc elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"1a2ce9cc\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div className=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div className=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-4ee65791\" data-id=\"4ee65791\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div className=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div className=\"elementor-element elementor-element-a3576c1 mf-btn--right elementor-widget elementor-widget-mf-button\" data-id=\"a3576c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"mf-button.default\">\n\t\t\t\t<div className=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div className=\"mf-btn-wraper \" data-mf-form-conditional-logic-requirement=\"\">\r\n\t\t\t\t\t\t\t<button type=\"submit\" className=\"metform-btn metform-submit-btn \" id=\"\">\r\n\t\t\t\t\t<span>${ parent.decodeEntities(`Enviar`) } <\/span>\r\n\t\t\t\t<\/button>\r\n\t\t\t        <\/div>\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t`}\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t${is_dummy_markup ? message_position === 'bottom' ? props.ResponseDummyMarkup(message_successIcon, message_proClass) : '' : ''}\r\n\t\t\t\t\t${is_dummy_markup ? ' ' : message_position === 'bottom' ? props.SubmitResponseMarkup`${parent}${state}${message_successIcon}${message_errorIcon}${message_proClass}` : ''}\r\n\t\t\t\t\r\n\t\t\t\t<\/form>\r\n\t\t\t`\r\n\t\t<\/script>\r\n\r\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\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>\n\t\t","protected":false},"excerpt":{"rendered":"<p>BUZON VIRTUAL<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-379","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/cuidadoseguro.com.co\/csc3\/wp-json\/wp\/v2\/pages\/379","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cuidadoseguro.com.co\/csc3\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cuidadoseguro.com.co\/csc3\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cuidadoseguro.com.co\/csc3\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cuidadoseguro.com.co\/csc3\/wp-json\/wp\/v2\/comments?post=379"}],"version-history":[{"count":25,"href":"https:\/\/cuidadoseguro.com.co\/csc3\/wp-json\/wp\/v2\/pages\/379\/revisions"}],"predecessor-version":[{"id":3536,"href":"https:\/\/cuidadoseguro.com.co\/csc3\/wp-json\/wp\/v2\/pages\/379\/revisions\/3536"}],"wp:attachment":[{"href":"https:\/\/cuidadoseguro.com.co\/csc3\/wp-json\/wp\/v2\/media?parent=379"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}