{"id":10838,"date":"2025-11-07T07:51:31","date_gmt":"2025-11-07T06:51:31","guid":{"rendered":"https:\/\/clinicavilaparc.es\/?page_id=10838"},"modified":"2026-02-11T08:47:14","modified_gmt":"2026-02-11T07:47:14","slug":"request-for-access","status":"publish","type":"page","link":"https:\/\/clinicavilaparc.es\/en\/request-for-access\/","title":{"rendered":"Request for access"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"10838\" class=\"elementor elementor-10838 elementor-10779\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6a0212c e-flex e-con-boxed e-con e-parent\" data-id=\"6a0212c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a76b5e5 elementor-widget elementor-widget-heading\" data-id=\"a76b5e5\" 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<h1 class=\"elementor-heading-title elementor-size-default\">Request for Access to Medical History<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-acf84fd e-flex e-con-boxed e-con e-parent\" data-id=\"acf84fd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-06c7591 e-con-full e-flex e-con e-child\" data-id=\"06c7591\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a133d49 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"a133d49\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Siguiente&quot;,&quot;step_previous_label&quot;:&quot;Anterior&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Nuevo formulario\" aria-label=\"Nuevo formulario\" novalidate=\"\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"10838\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"a133d49\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Request for access - Cl\u00ednica Vila Parc\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"10838\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_bbef5bc elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-widget-container\" style=\"margin: 0px 0px 10px;\">\n\t\t\t\t\t\t\t\t\t<strong>PATIENT <\/strong> \n<\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-dni elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-dni\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tID\/NIE\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[dni]\" id=\"form-field-dni\" class=\"elementor-field elementor-size-md  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nombre elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nombre\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nombre]\" id=\"form-field-nombre\" class=\"elementor-field elementor-size-md  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-apellido1 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-apellido1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLast name 1\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[apellido1]\" id=\"form-field-apellido1\" class=\"elementor-field elementor-size-md  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-apellido2 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-apellido2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLast name 2\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[apellido2]\" id=\"form-field-apellido2\" class=\"elementor-field elementor-size-md  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail  adress\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-md  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-telf elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-telf\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTelephone Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[telf]\" id=\"form-field-telf\" class=\"elementor-field elementor-size-md  elementor-field-textual\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_1f9b5bd elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-widget-container\" style=\"margin: 50px 0px 10px;\">\n\t\t\t\t\t\t\t\t\t<strong>REPRESENTATIVE <\/strong> (only in case of representation, disability, or unemancipated minors under 14 years of age):\t\t\t\t\t\t\t\t<\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-representante elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Parent\" id=\"form-field-representante-0\" name=\"form_fields[representante]\"> <label for=\"form-field-representante-0\">Parent<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Legal Guardian\" id=\"form-field-representante-1\" name=\"form_fields[representante]\"> <label for=\"form-field-representante-1\">Legal Guardian<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Representative\" id=\"form-field-representante-2\" name=\"form_fields[representante]\"> <label for=\"form-field-representante-2\">Representative<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-dni_representante elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-dni_representante\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tID\/NIE\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[dni_representante]\" id=\"form-field-dni_representante\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nombre_representante elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nombre_representante\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nombre_representante]\" id=\"form-field-nombre_representante\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-apellido1_representante elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-apellido1_representante\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLast name 1\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[apellido1_representante]\" id=\"form-field-apellido1_representante\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-apellido2_representante elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-apellido2_representante\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLast name 2\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[apellido2_representante]\" id=\"form-field-apellido2_representante\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-email_representante elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email_representante\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail  address\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[email_representante]\" id=\"form-field-email_representante\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-telf_representante elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-telf_representante\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTelephone Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[telf_representante]\" id=\"form-field-telf_representante\" class=\"elementor-field elementor-size-md  elementor-field-textual\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_cd30818 elementor-col-100\">\n\t\t\t\t\t<p>The legal representative declares on his own responsibility that, at the date of this request, there is no circumstance which may affect the validity of the supporting documentation submitted concerning the legal representation of the interested party.<\/p>\n<p>Likewise, in the event that the exercise of the right has been carried out by one of the minor's parents, he\/she declares that he\/she is acting within the ordinary exercise of parental authority, always with the knowledge and consent of the other parent, in accordance with the provisions of Article 156 of the Civil Code.<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_e3e5b74 elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-widget-container\" style=\"margin: 30px 0px 10px;\">\n\t\t\t\t\t\t\t<strong>PREFERRED NOTIFICATION CHANNEL<\/strong>\t\t\t\t\t\t\t\t<\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-notificacion elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-notificacion\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNotification to:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Patient \" id=\"form-field-notificacion-0\" name=\"form_fields[notificacion]\" required=\"required\"> <label for=\"form-field-notificacion-0\">Patient <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Representative person or entity\" id=\"form-field-notificacion-1\" name=\"form_fields[notificacion]\" required=\"required\"> <label for=\"form-field-notificacion-1\">Representative person or entity<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-medio_notificacion elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-medio_notificacion\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMedio de notificaci\u00f3n:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Q-Report \u2013 Radiological tests and reports. (Delivery time 5\u20137 days)\" id=\"form-field-medio_notificacion-0\" name=\"form_fields[medio_notificacion]\" required=\"required\"> <label for=\"form-field-medio_notificacion-0\">Q-Report \u2013 Radiological tests and reports. (Delivery time 5\u20137 days)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"E-Mail - Request for reports without images (Delivery time 5\u20137 days) \" id=\"form-field-medio_notificacion-1\" name=\"form_fields[medio_notificacion]\" required=\"required\"> <label for=\"form-field-medio_notificacion-1\">E-Mail - Request for reports without images (Delivery time 5\u20137 days) <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"To be collected from Policl\u00ednica Ntra Sra del Rosario V\u00eda Romana (Ibiza) - Requests for physical medical records (Delivery time 10 days)\" id=\"form-field-medio_notificacion-2\" name=\"form_fields[medio_notificacion]\" required=\"required\"> <label for=\"form-field-medio_notificacion-2\">To be collected from Policl\u00ednica Ntra Sra del Rosario V\u00eda Romana (Ibiza) - Requests for physical medical records (Delivery time 10 days)<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_d6c3395 elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-widget-container\" style=\"margin: 50px 0px 10px;\">\n\t\t\t\t\t\t\t\t\t<strong>I EXPOSE<\/strong><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_6de8746 elementor-col-100\">\n\t\t\t\t\t<p>I wish to exercise my right of access to certain data, pursuant to Article 15 of Regulation (EU) 2016\/679 of the European Parliament and of the Council of 27 April 2016, Article 13 of Organic Law 3\/2018 of 5 December on the protection of personal data and guarantee of digital rights, and Article 18 of Law 41\/2002 of 14 November, regulating patient autonomy and rights and obligations in relation to clinical information and documentation.<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_508269d elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-widget-container\" style=\"margin: 30px 0px 10px;\">\n\t\t\t\t\t\t\t\t\t<strong>I REQUEST<\/strong><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_30c09c1 elementor-col-100\">\n\t\t\t\t\t<p>That I am provided with information relating to the processing of personal data to which I have the right of access within one month of the date of registration of this request. <\/p>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-solicitud elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-solicitud\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDatos de la historia cl\u00ednica del solicitante por los que se solicita acceso\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Complete medical history \" id=\"form-field-solicitud-0\" name=\"form_fields[solicitud]\" required=\"required\"> <label for=\"form-field-solicitud-0\">Complete medical history <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Medical reports\" id=\"form-field-solicitud-1\" name=\"form_fields[solicitud]\" required=\"required\"> <label for=\"form-field-solicitud-1\">Medical reports<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Laboratory results\" id=\"form-field-solicitud-2\" name=\"form_fields[solicitud]\" required=\"required\"> <label for=\"form-field-solicitud-2\">Laboratory results<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Others\" id=\"form-field-solicitud-3\" name=\"form_fields[solicitud]\" required=\"required\"> <label for=\"form-field-solicitud-3\">Others<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_6c103e2 elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-widget-container\" style=\"margin: 10px 0px 0px;\">Period<\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-fecha_inicio elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-fecha_inicio\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFrom:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[fecha_inicio]\" id=\"form-field-fecha_inicio\" class=\"elementor-field elementor-size-md  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-fecha_fin elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-fecha_fin\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTo:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[fecha_fin]\" id=\"form-field-fecha_fin\" class=\"elementor-field elementor-size-md  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-documentacion elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-documentacion\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSpecify requested documentation \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-md\" name=\"form_fields[documentacion]\" id=\"form-field-documentacion\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_1cbff43 elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-widget-container\" style=\"margin: 50px 0px 10px;\">\n\t\t\t\t\t\t\t\t\t<strong>ATTACHED DOCUMENTATION<\/strong><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-archivo elementor-col-40 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[archivo][]\" id=\"form-field-archivo\" class=\"elementor-field elementor-size-md  elementor-upload-field\" required=\"required\" multiple=\"multiple\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_0303811 elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-widget-container\" style=\"margin: 30px 0px 10px;\">\n\t\t\t\t\t\t\t\t\t<strong>INSTRUCTIONS<\/strong><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_608d09e elementor-col-100\">\n\t\t\t\t\t<p>Write in capitals. <\/p>\n<ol>\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If the application is made by a representative, all the patient's details must be entered in the corresponding section (\u2018Patient\u2019).<\/span>\n<ol>\n \t<li style=\"font-weight: 400;\" aria-level=\"2\"><b>Parent:<\/b><span style=\"font-weight: 400;\"> natural person who exercises parental authority. If the request is submitted by a parent, proof of this status must be provided by presenting the corresponding document. In accordance with Article 156 of the Civil Code, with regard to third parties acting in good faith, it is presumed that each parent acts in the ordinary exercise of parental authority with the consent of the other.<\/span>\n\t<br><span style=\"font-weight: 400; font-size: 14px; color: #ff0000;\">*A copy of both sides of the patient's parent's national identity card must be attached, as well as documentation proving this option. All personal documentation provided must be valid.<\/span>\n\t<\/li>\n \t<li style=\"font-weight: 400;\" aria-level=\"2\"><b>Legal guardian:<\/b><span style=\"font-weight: 400;\">natural person who exercises guardianship over a minor or incapacitated person. If the application is submitted through a legal guardian, this status must be proven and the document justifying it must be provided.<\/span>\n\t<br><span style=\"font-weight: 400; font-size: 14px; color: #ff0000;\">*A copy of both sides of the patient's parent's national identity card must be attached, as well as documentation proving this option. All personal documentation provided must be valid.<\/span>\n\t<\/li>\n \t<li style=\"font-weight: 400;\" aria-level=\"2\"><b>Representative:<\/b><span style=\"font-weight: 400;\"> Anyone acting as a representative must prove the capacity in which they are acting by any means valid in law that provides reliable evidence of this circumstance.\u00a0<\/span>\n\t<br><span style=\"font-weight: 400; font-size: 14px; color: #ff0000;\">*A copy of both sides of the patient's parent's national identity card must be attached, as well as documentation proving this option. All personal documentation provided must be valid.<\/span>\n\t<\/li>\n<\/ol>\n<br>\n<\/li>\n \t<li><span style=\"font-weight: 400;\">A copy of the patient's identity card must be provided, and in the case of a representative, a copy of the identity card of the parent, legal guardian or representative. All personal documentation provided must be valid.<\/span><\/li>\n<\/ol>\n\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_997de3f elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field-subgroup\">\n\t\t\t<span class=\"elementor-field-option\">\n\t\t\t\t<input type=\"checkbox\" name=\"form_fields[field_997de3f]\" id=\"form-field-field_997de3f\" class=\"elementor-field elementor-size-md  elementor-acceptance-field\" required=\"required\">\n\t\t\t\t<label for=\"form-field-field_997de3f\"><b>CONSENT TO THE PROCESSING OF PERSONAL DATA <\/b><br\/><\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Enviar<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8d165d9 elementor-widget elementor-widget-text-editor\" data-id=\"8d165d9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>CLINICA VILAPARC, S.L.U. is the Data Controller of the user&#8217;s personal data and informs the user that these data will be processed in accordance with the provisions of Regulation (EU) 2016\/679, of 27 April (GDPR), and Organic Law 3\/2018, of 5 December (LOPDGDD), for which the following information on the processing is provided:\u00a0<br \/>Purposes and legitimacy of the processing: to maintain a commercial relationship (for the legitimate interest of the controller, art. 6.1.f GDPR) and to send communications about products or services (by consent of the data subject, art. 6.1.a GDPR).\u00a0<br \/>Data retention criteria: data will be kept for no longer than necessary to maintain the purpose of the processing or as long as there are legal requirements that dictate its custody and when it is no longer necessary to do so, it will be deleted with appropriate security measures to guarantee the anonymisation of the data or the total destruction of the same.\u00a0<br \/>Communication of data: If necessary for the development and execution of the purposes of the processing, we may transfer the data to our providers of services related to communications and IT, with which the RESPONSIBLE PARTY has signed the confidentiality and data processor agreements required by current privacy regulations. The data will also be provided to other companies of the Policl\u00ednica Group (Policl\u00ednica Ntra. Sra. del Rosario, S.L.U., Cl\u00ednica Vilaparc, S.L.U., Eiviconsulta, S.L.U. and Cl\u00ednica Premium Ibiza, S.L.U.), with the user&#8217;s consent, for the same purposes.\u00a0<br \/>User&#8217;s rights: the right to withdraw consent at any time. Right of access, rectification, portability and deletion of your data, and of limitation or opposition to its processing. The right to lodge a complaint with the Supervisory Authority (www.aepd.es) if you consider that the processing does not comply with the regulations in force.\u00a0<br \/>Contact details to exercise your rights: lopd@grupopoliclinica.es. Contact details of the Data Protection Officer: dpd@grupopoliclinica.es<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Request for Access to Medical History CLINICA VILAPARC, S.L.U. is the Data Controller of the user&#8217;s personal data and informs the user that these data will be processed in accordance with the provisions of Regulation (EU) 2016\/679, of 27 April (GDPR), and Organic Law 3\/2018, of 5 December (LOPDGDD), for which the following information on [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-10838","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/clinicavilaparc.es\/en\/wp-json\/wp\/v2\/pages\/10838","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clinicavilaparc.es\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/clinicavilaparc.es\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/clinicavilaparc.es\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/clinicavilaparc.es\/en\/wp-json\/wp\/v2\/comments?post=10838"}],"version-history":[{"count":3,"href":"https:\/\/clinicavilaparc.es\/en\/wp-json\/wp\/v2\/pages\/10838\/revisions"}],"predecessor-version":[{"id":11203,"href":"https:\/\/clinicavilaparc.es\/en\/wp-json\/wp\/v2\/pages\/10838\/revisions\/11203"}],"wp:attachment":[{"href":"https:\/\/clinicavilaparc.es\/en\/wp-json\/wp\/v2\/media?parent=10838"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}