{"id":242533,"date":"2023-03-09T17:24:44","date_gmt":"2023-03-09T17:24:44","guid":{"rendered":"https:\/\/seniorbaja.com\/loginwp\/?page_id=242533"},"modified":"2023-03-21T13:55:19","modified_gmt":"2023-03-21T20:55:19","slug":"aplication","status":"publish","type":"page","link":"https:\/\/seniorbaja.com\/loginwp\/aplication\/","title":{"rendered":"Aplication"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00bb1&#8243; module_class=\u00bbaplication_section\u00bb _builder_version=\u00bb4.20.0&#8243; _module_preset=\u00bbdefault\u00bb background_color=\u00bbrgba(0,0,0,0.55)\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row _builder_version=\u00bb4.20.0&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4&#8243; _builder_version=\u00bb4.20.0&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_cta title=\u00bb  Patient Application\u00bb module_class=\u00bbaplication_form\u00bb _builder_version=\u00bb4.20.0&#8243; _module_preset=\u00bbdefault\u00bb header_level=\u00bbh1&#8243; header_font=\u00bb|700|||||||\u00bb header_text_align=\u00bbleft\u00bb header_text_color=\u00bb#FFFFFF\u00bb header_font_size=\u00bb40px\u00bb background_color=\u00bbRGBA(255,255,255,0)\u00bb custom_padding=\u00bb0px|0px|0px|0px|false|false\u00bb animation_style=\u00bbfade\u00bb global_colors_info=\u00bb{}\u00bb content__hover_enabled=\u00bboff|hover\u00bb background__hover_enabled=\u00bbon|desktop\u00bb use_background_color__hover=\u00bbon\u00bb content__hover=\u00bb<\/p>\n<p>%91contact-form-7 id=%22242539%22 title=%22Aplication%22%93<\/p>\n<p>\u00bb background_color__hover=\u00bbRGBA(255,255,255,0)\u00bb background_enable_color__hover=\u00bbon\u00bb custom_padding__hover_enabled=\u00bbon|desktop\u00bb custom_padding__hover=\u00bb0px|0px|0px|0px|false|false\u00bb]<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f242539-o1\" lang=\"es-ES\" dir=\"ltr\" data-wpcf7-id=\"242539\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/loginwp\/wp-json\/wp\/v2\/pages\/242533#wpcf7-f242539-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulario de contacto\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"242539\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"es_ES\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f242539-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"formulario dos_campos positivo info_contact\">\n\t<p class=\"contact_info_text\">Contact Information\n\t<\/p>\n\t<ul>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"name_contact\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Name\" value=\"\" type=\"text\" name=\"name_contact\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"relationship_pacient\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Relationship to patient\" value=\"\" type=\"text\" name=\"relationship_pacient\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"E-mail\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone Number\" value=\"\" type=\"tel\" name=\"phone\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t<\/ul>\n<\/div>\n<div class=\"formulario dos_campos positivo info_pacient\">\n\t<p class=\"pacient_info_text\">Patient Information\n\t<\/p>\n\t<p class=\"pacient_birth_info\">Date of birth\n\t<\/p>\n\t<ul>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"day_apli\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" min=\"1\" max=\"31\" aria-invalid=\"false\" placeholder=\"Day\" value=\"\" type=\"number\" name=\"day_apli\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"month_apli\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Month\" value=\"\" type=\"text\" name=\"month_apli\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"year_apli\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" max=\"2022\" aria-invalid=\"false\" placeholder=\"Year\" value=\"\" type=\"number\" name=\"year_apli\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"can_pacient_eat\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Can the patient eat by himself?\" value=\"\" type=\"text\" name=\"can_pacient_eat\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_diet\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Does the patient have a special diet?\" value=\"\" type=\"text\" name=\"pacient_diet\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_speak\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Can the patient speak?\" value=\"\" type=\"text\" name=\"pacient_speak\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_language\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Which language does he\/she speak?\" value=\"\" type=\"text\" name=\"pacient_language\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_weigth\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"What is the patients&#039; weight?\" value=\"\" type=\"text\" name=\"pacient_weigth\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_chronic\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Does the patient have a chronic condition?\" value=\"\" type=\"text\" name=\"pacient_chronic\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_walk\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Can the patient walk by himself?\" value=\"\" type=\"text\" name=\"pacient_walk\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_bed\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Is the patient in bed most of the time?\" value=\"\" type=\"text\" name=\"pacient_bed\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_diapers\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Does the patient use adult diapers?\" value=\"\" type=\"text\" name=\"pacient_diapers\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_room\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Do you desire a private or shared room?\" value=\"\" type=\"text\" name=\"pacient_room\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"moonthly_budget\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"What is your monthly budget?\" value=\"\" type=\"text\" name=\"moonthly_budget\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"chronic_desiese\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Has a chronic or degenerative disease?\" value=\"\" type=\"text\" name=\"chronic_desiese\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_memory\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" min=\"1\" max=\"10\" aria-invalid=\"false\" placeholder=\"Patient memory level  1-10 Scale\" value=\"\" type=\"number\" name=\"pacient_memory\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_hospice\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Does the patient need hospice care?\" value=\"\" type=\"text\" name=\"pacient_hospice\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li class=\"message_row fullwidth\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"comments\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Other comments\" name=\"comments\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\n\t\t<\/li>\n\t\t<li class=\"submit_row fullwidth\">\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n\t\t\t<\/p>\n\t\t<\/li>\n\t<\/ul>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<p>[\/et_pb_cta][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f242539-o2\" lang=\"es-ES\" dir=\"ltr\" data-wpcf7-id=\"242539\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/loginwp\/wp-json\/wp\/v2\/pages\/242533#wpcf7-f242539-o2\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulario de contacto\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"242539\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"es_ES\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f242539-o2\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"formulario dos_campos positivo info_contact\">\n\t<p class=\"contact_info_text\">Contact Information\n\t<\/p>\n\t<ul>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"name_contact\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Name\" value=\"\" type=\"text\" name=\"name_contact\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"relationship_pacient\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Relationship to patient\" value=\"\" type=\"text\" name=\"relationship_pacient\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"E-mail\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone Number\" value=\"\" type=\"tel\" name=\"phone\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t<\/ul>\n<\/div>\n<div class=\"formulario dos_campos positivo info_pacient\">\n\t<p class=\"pacient_info_text\">Patient Information\n\t<\/p>\n\t<p class=\"pacient_birth_info\">Date of birth\n\t<\/p>\n\t<ul>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"day_apli\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" min=\"1\" max=\"31\" aria-invalid=\"false\" placeholder=\"Day\" value=\"\" type=\"number\" name=\"day_apli\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"month_apli\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Month\" value=\"\" type=\"text\" name=\"month_apli\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"year_apli\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" max=\"2022\" aria-invalid=\"false\" placeholder=\"Year\" value=\"\" type=\"number\" name=\"year_apli\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"can_pacient_eat\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Can the patient eat by himself?\" value=\"\" type=\"text\" name=\"can_pacient_eat\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_diet\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Does the patient have a special diet?\" value=\"\" type=\"text\" name=\"pacient_diet\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_speak\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Can the patient speak?\" value=\"\" type=\"text\" name=\"pacient_speak\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_language\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Which language does he\/she speak?\" value=\"\" type=\"text\" name=\"pacient_language\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_weigth\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"What is the patients&#039; weight?\" value=\"\" type=\"text\" name=\"pacient_weigth\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_chronic\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Does the patient have a chronic condition?\" value=\"\" type=\"text\" name=\"pacient_chronic\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_walk\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Can the patient walk by himself?\" value=\"\" type=\"text\" name=\"pacient_walk\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_bed\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Is the patient in bed most of the time?\" value=\"\" type=\"text\" name=\"pacient_bed\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_diapers\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Does the patient use adult diapers?\" value=\"\" type=\"text\" name=\"pacient_diapers\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_room\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Do you desire a private or shared room?\" value=\"\" type=\"text\" name=\"pacient_room\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"moonthly_budget\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"What is your monthly budget?\" value=\"\" type=\"text\" name=\"moonthly_budget\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"chronic_desiese\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Has a chronic or degenerative disease?\" value=\"\" type=\"text\" name=\"chronic_desiese\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_memory\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" min=\"1\" max=\"10\" aria-invalid=\"false\" placeholder=\"Patient memory level  1-10 Scale\" value=\"\" type=\"number\" name=\"pacient_memory\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pacient_hospice\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Does the patient need hospice care?\" value=\"\" type=\"text\" name=\"pacient_hospice\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li class=\"message_row fullwidth\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"comments\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Other comments\" name=\"comments\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/li>\n\t\t<li>\n\t\t\n\t\t<\/li>\n\t\t<li class=\"submit_row fullwidth\">\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n\t\t\t<\/p>\n\t\t<\/li>\n\t<\/ul>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-242533","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Application | Senior Care Baja Tijuana<\/title>\n<meta name=\"description\" content=\"If you are looking for Senior Care in Tijuana fill this application form. At Senior Care Baja we have Professionals and qualified nurses on site 24 hrs\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/seniorbaja.com\/loginwp\/aplication\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Application | Senior Care Baja Tijuana\" \/>\n<meta property=\"og:description\" content=\"If you are looking for Senior Care in Tijuana fill this application form. At Senior Care Baja we have Professionals and qualified nurses on site 24 hrs\" \/>\n<meta property=\"og:url\" content=\"https:\/\/seniorbaja.com\/loginwp\/aplication\/\" \/>\n<meta property=\"og:site_name\" content=\"Senior Care\" \/>\n<meta property=\"article:modified_time\" content=\"2023-03-21T20:55:19+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/seniorbaja.com\/loginwp\/wp-content\/uploads\/2023\/02\/logo-senior-care-baja.png\" \/>\n\t<meta property=\"og:image:width\" content=\"147\" \/>\n\t<meta property=\"og:image:height\" content=\"80\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minuto\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/seniorbaja.com\/loginwp\/aplication\/\",\"url\":\"https:\/\/seniorbaja.com\/loginwp\/aplication\/\",\"name\":\"Application | Senior Care Baja Tijuana\",\"isPartOf\":{\"@id\":\"https:\/\/seniorbaja.com\/loginwp\/#website\"},\"datePublished\":\"2023-03-09T17:24:44+00:00\",\"dateModified\":\"2023-03-21T20:55:19+00:00\",\"description\":\"If you are looking for Senior Care in Tijuana fill this application form. At Senior Care Baja we have Professionals and qualified nurses on site 24 hrs\",\"breadcrumb\":{\"@id\":\"https:\/\/seniorbaja.com\/loginwp\/aplication\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/seniorbaja.com\/loginwp\/aplication\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/seniorbaja.com\/loginwp\/aplication\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\/\/seniorbaja.com\/loginwp\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Aplication\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/seniorbaja.com\/loginwp\/#website\",\"url\":\"https:\/\/seniorbaja.com\/loginwp\/\",\"name\":\"Senior Care\",\"description\":\"Ofrecemos servicios de vida asistida para aquellos que est\u00e1n en busca de asilos en Tijuana M\u00e9xico. En Senior Care Baja contamos con personal las 24 horas.\",\"publisher\":{\"@id\":\"https:\/\/seniorbaja.com\/loginwp\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/seniorbaja.com\/loginwp\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/seniorbaja.com\/loginwp\/#organization\",\"name\":\"Senior Care\",\"url\":\"https:\/\/seniorbaja.com\/loginwp\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\/\/seniorbaja.com\/loginwp\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/seniorbaja.com\/loginwp\/wp-content\/uploads\/2023\/03\/Logo.png\",\"contentUrl\":\"https:\/\/seniorbaja.com\/loginwp\/wp-content\/uploads\/2023\/03\/Logo.png\",\"width\":147,\"height\":80,\"caption\":\"Senior Care\"},\"image\":{\"@id\":\"https:\/\/seniorbaja.com\/loginwp\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Application | Senior Care Baja Tijuana","description":"If you are looking for Senior Care in Tijuana fill this application form. At Senior Care Baja we have Professionals and qualified nurses on site 24 hrs","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/seniorbaja.com\/loginwp\/aplication\/","og_locale":"es_ES","og_type":"article","og_title":"Application | Senior Care Baja Tijuana","og_description":"If you are looking for Senior Care in Tijuana fill this application form. At Senior Care Baja we have Professionals and qualified nurses on site 24 hrs","og_url":"https:\/\/seniorbaja.com\/loginwp\/aplication\/","og_site_name":"Senior Care","article_modified_time":"2023-03-21T20:55:19+00:00","og_image":[{"width":147,"height":80,"url":"https:\/\/seniorbaja.com\/loginwp\/wp-content\/uploads\/2023\/02\/logo-senior-care-baja.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_misc":{"Tiempo de lectura":"1 minuto"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/seniorbaja.com\/loginwp\/aplication\/","url":"https:\/\/seniorbaja.com\/loginwp\/aplication\/","name":"Application | Senior Care Baja Tijuana","isPartOf":{"@id":"https:\/\/seniorbaja.com\/loginwp\/#website"},"datePublished":"2023-03-09T17:24:44+00:00","dateModified":"2023-03-21T20:55:19+00:00","description":"If you are looking for Senior Care in Tijuana fill this application form. At Senior Care Baja we have Professionals and qualified nurses on site 24 hrs","breadcrumb":{"@id":"https:\/\/seniorbaja.com\/loginwp\/aplication\/#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/seniorbaja.com\/loginwp\/aplication\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/seniorbaja.com\/loginwp\/aplication\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Portada","item":"https:\/\/seniorbaja.com\/loginwp\/"},{"@type":"ListItem","position":2,"name":"Aplication"}]},{"@type":"WebSite","@id":"https:\/\/seniorbaja.com\/loginwp\/#website","url":"https:\/\/seniorbaja.com\/loginwp\/","name":"Senior Care","description":"Ofrecemos servicios de vida asistida para aquellos que est\u00e1n en busca de asilos en Tijuana M\u00e9xico. En Senior Care Baja contamos con personal las 24 horas.","publisher":{"@id":"https:\/\/seniorbaja.com\/loginwp\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/seniorbaja.com\/loginwp\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"},{"@type":"Organization","@id":"https:\/\/seniorbaja.com\/loginwp\/#organization","name":"Senior Care","url":"https:\/\/seniorbaja.com\/loginwp\/","logo":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/seniorbaja.com\/loginwp\/#\/schema\/logo\/image\/","url":"https:\/\/seniorbaja.com\/loginwp\/wp-content\/uploads\/2023\/03\/Logo.png","contentUrl":"https:\/\/seniorbaja.com\/loginwp\/wp-content\/uploads\/2023\/03\/Logo.png","width":147,"height":80,"caption":"Senior Care"},"image":{"@id":"https:\/\/seniorbaja.com\/loginwp\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/seniorbaja.com\/loginwp\/wp-json\/wp\/v2\/pages\/242533","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/seniorbaja.com\/loginwp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/seniorbaja.com\/loginwp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/seniorbaja.com\/loginwp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/seniorbaja.com\/loginwp\/wp-json\/wp\/v2\/comments?post=242533"}],"version-history":[{"count":0,"href":"https:\/\/seniorbaja.com\/loginwp\/wp-json\/wp\/v2\/pages\/242533\/revisions"}],"wp:attachment":[{"href":"https:\/\/seniorbaja.com\/loginwp\/wp-json\/wp\/v2\/media?parent=242533"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}