{"id":206,"date":"2025-10-15T05:37:06","date_gmt":"2025-10-15T05:37:06","guid":{"rendered":"https:\/\/hcset.com\/?page_id=206"},"modified":"2025-10-18T12:27:38","modified_gmt":"2025-10-18T12:27:38","slug":"formularios-para-pacientes","status":"publish","type":"page","link":"https:\/\/hcset.com\/es\/formularios-para-pacientes\/","title":{"rendered":"Formularios Para Pacientes"},"content":{"rendered":"

[et_pb_section fb_built=”1″ module_class=”sj-hidden-section” _builder_version=”4.27.4″ _module_preset=”default” use_background_color_gradient=”on” background_color_gradient_stops=”rgba(0,0,0,0.5) 0%|rgba(0,0,0,0.5) 100%” background_color_gradient_overlays_image=”on” background_image=”https:\/\/hcset.com\/wp-content\/uploads\/2025\/10\/shutterstock_578134666.jpg” height=”350px” custom_padding=”|20px||20px|false|true” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” positioning=”absolute” position_origin_a=”center_center” width=”100%” max_width=”1040px” custom_padding=”0px|20px|0px|20px|true|true” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” animation_style=”slide” animation_direction=”bottom” animation_duration=”1200ms” animation_intensity_slide=”5%” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” header_font=”||||||||” header_text_align=”center” header_text_color=”#FFFFFF” header_font_size=”48px” custom_margin=”||0px||false|false” hover_enabled=”0″ header_font_size_tablet=”48px” header_font_size_phone=”32px” header_font_size_last_edited=”on|phone” global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″]<\/p>\n

Formularios Para Pacientes<\/h1>\n

[\/et_pb_text][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” text_text_color=”#FFFFFF” text_orientation=”center” hover_enabled=”0″ global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″]Su cuidado en nuestras manos[\/et_pb_text][dipl_button inline_buttons=”on” buttons_alignment=”center” _builder_version=”4.27.4″ _module_preset=”default” button_text_color=”#FFFFFF” custom_margin=”||||false|false” custom_padding=”||||false|false” animation_style=”slide” animation_direction=”bottom” animation_delay=”100ms” animation_intensity_slide=”10%” hover_enabled=”0″ global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″][dipl_button_item button_text=”Programe Una Cita” button_url=”https:\/\/healow.com\/apps\/practice\/health-center-of-southeast-texas-3666?v=2&locale=en” url_new_window=”on” button_bg_color=”#6C1740″ button_custom_margin=”|8px|8px|8px|false|true” button_custom_padding=”13px|18px|13px|18px|true|true” _builder_version=”4.27.4″ _module_preset=”default” hover_enabled=”0″ border_radii=”on|5px|5px|5px|5px” border_width_all=”1px” border_color_all=”RGBA(255,255,255,0)” global_colors_info=”{}” button_bg_color__hover_enabled=”on|desktop” button_bg_color__hover=”#C22973″ button_bg_enable_color__hover=”on” border_color_all__hover_enabled=”on|desktop” border_color_all__hover=”#FFFFFF” theme_builder_area=”post_content” sticky_enabled=”0″][\/dipl_button_item][dipl_button_item button_text=”Solicite Informaci\u00f3n” button_url=”#contact-form” button_bg_color=”#6C1740″ button_custom_margin=”|8px|0px|8px|false|true” button_custom_padding=”13px|18px|13px|18px|true|true” _builder_version=”4.27.4″ _module_preset=”default” border_radii=”on|5px|5px|5px|5px” border_width_all=”1px” border_color_all=”RGBA(255,255,255,0)” global_colors_info=”{}” button_bg_color__hover=”#C22973″ button_bg_color__hover_enabled=”on|desktop” border_color_all__hover=”#FFFFFF” border_color_all__hover_enabled=”on|desktop” theme_builder_area=”post_content”][\/dipl_button_item][\/dipl_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” background_color=”#AE966A” custom_padding=”15px|20px|15px|20px|true|true” global_module=”880″ global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” width=”100%” custom_padding=”0px||0px||true|false” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” text_text_color=”#FFFFFF” text_font_size=”18px” text_line_height=”1.5em” link_text_color=”#FFFFFF” text_orientation=”center” animation_style=”slide” animation_direction=”bottom” animation_intensity_slide=”10%” global_colors_info=”{}” theme_builder_area=”post_content”]<\/p>\n

Health Center of Southeast Texas |<\/span> 307 North William Barnett Avenue, Cleveland, TX 77327<\/span><\/a> |<\/span> (281) 592-2224<\/span><\/a><\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”on|tablet” _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”40px|20px|40px|20px|true|true” custom_padding_tablet=”30px|20px|30px|20px|true|true” custom_padding_phone=”30px|20px|30px|20px|true|true” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” width=”100%” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” header_2_text_align=”center” header_2_font_size=”36px” header_2_line_height=”1.2em” custom_margin=”||20px||false|false” animation_style=”slide” animation_direction=”bottom” animation_intensity_slide=”5%” hover_enabled=”0″ header_2_font_size_tablet=”36px” header_2_font_size_phone=”29px” header_2_font_size_last_edited=”on|phone” global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″]<\/p>\n

Formularios para pacientes<\/h2>\n

[\/et_pb_text][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” animation_style=”slide” animation_direction=”bottom” animation_delay=”50ms” animation_intensity_slide=”10%” hover_enabled=”0″ global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″]Aqu\u00ed encontrar\u00e1 toda la documentaci\u00f3n, informaci\u00f3n y recursos necesarios.<\/p>\n

Para obtener instrucciones sobre el acceso fuera de horario, p\u00f3ngase en contacto con su oficina local.[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”on|tablet” _builder_version=”4.27.4″ _module_preset=”default” background_color=”#AE966A” custom_padding=”45px|20px|30px|20px|false|true” custom_padding_tablet=”30px|20px|30px|20px|true|true” custom_padding_phone=”30px|20px|30px|20px|true|true” hover_enabled=”0″ global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” width=”100%” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][dipl_button inline_buttons=”on” buttons_alignment=”center” _builder_version=”4.27.4″ _module_preset=”default” custom_margin=”||0px||false|false” animation_style=”slide” 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_builder_version=”4.27.4″ _module_preset=”default” custom_margin=”||0px||false|false” custom_margin_tablet=”7px||||false|false” custom_margin_phone=”7px||||false|false” custom_margin_last_edited=”on|tablet” animation_style=”slide” animation_direction=”bottom” animation_delay=”50ms” animation_intensity_slide=”10%” hover_enabled=”0″ global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″][dipl_button_item button_text=”Formulario De Divulgaci\u00f3n De Registros De Salud Mental” button_url=”https:\/\/rlfiles1.azureedge.net\/5811da22-67b2-4100-8869-b6c91b194c4a\/4bb9aec0-4be2-4e3b-8b24-c5000a5d3264\/UPDATED%20Mental%20Health%20Records%20Release%20(English)%2011.09.docx” url_new_window=”on” button_bg_color=”#6C1740″ button_alignment=”center” button_custom_margin=”|8px|8px|8px|false|true” button_custom_padding=”13px|15px|13px|15px|true|true” _builder_version=”4.27.4″ _module_preset=”default” button_font=”|700|||||||” button_text_color=”#FFFFFF” text_orientation=”center” 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hover_enabled=”0″ global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″][dipl_button_item button_text=”Folleto de facturaci\u00f3n en Healow” button_url=”https:\/\/rlfiles1.azureedge.net\/5811da22-67b2-4100-8869-b6c91b194c4a\/8dacb5b9-5d43-4e5f-aee9-1465ff3f1b9b\/Healow%20Check%20In%20Flyer%20Spanish.pdf” url_new_window=”on” button_bg_color=”#6C1740″ button_alignment=”center” button_custom_margin=”|8px|8px|8px|false|true” button_custom_padding=”13px|15px|13px|15px|true|true” _builder_version=”4.27.4″ _module_preset=”default” button_font=”|700|||||||” button_text_color=”#FFFFFF” text_orientation=”center” hover_enabled=”0″ border_radii=”on|8px|8px|8px|8px” border_width_all=”1px” border_color_all=”RGBA(255,255,255,0)” global_colors_info=”{}” border_color_all__hover_enabled=”on|desktop” border_color_all__hover=”#FFFFFF” theme_builder_area=”post_content” sticky_enabled=”0″][\/dipl_button_item][dipl_button_item button_text=”Folleto del portal del paciente de Healow” button_url=”https:\/\/rlfiles1.azureedge.net\/5811da22-67b2-4100-8869-b6c91b194c4a\/c796ea6b-36e6-4615-bb94-4c10cd5ce7a0\/Healow%20Patient%20Portal%20Flyer%20Spanish.pdf” url_new_window=”on” button_bg_color=”#6C1740″ button_alignment=”center” button_custom_margin=”|8px||8px|false|true” button_custom_padding=”13px|15px|13px|15px|true|true” _builder_version=”4.27.4″ _module_preset=”default” button_font=”|700|||||||” button_text_color=”#FFFFFF” text_orientation=”center” hover_enabled=”0″ border_radii=”on|8px|8px|8px|8px” border_width_all=”1px” border_color_all=”RGBA(255,255,255,0)” global_colors_info=”{}” border_color_all__hover_enabled=”on|desktop” border_color_all__hover=”#FFFFFF” theme_builder_area=”post_content” button_bg_enable_color=”on” sticky_enabled=”0″][\/dipl_button_item][\/dipl_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”on|tablet” _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”45px|20px|45px|20px|true|true” custom_padding_tablet=”30px||30px||true|true” custom_padding_phone=”30px||30px||true|true” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” width=”100%” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” header_3_text_align=”center” header_3_font_size=”30px” header_3_line_height=”1.3em” custom_margin=”||25px||false|false” custom_margin_tablet=”” custom_margin_phone=”||20px||false|false” custom_margin_last_edited=”on|phone” animation_style=”slide” animation_direction=”bottom” animation_delay=”50ms” animation_intensity_slide=”5%” hover_enabled=”0″ header_3_font_size_tablet=”30px” header_3_font_size_phone=”25px” header_3_font_size_last_edited=”on|phone” global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″]<\/p>\n

Derechos y pol\u00edticas del paciente<\/h3>\n

[\/et_pb_text][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” animation_style=”slide” animation_direction=”bottom” animation_delay=”50ms” animation_intensity_slide=”5%” hover_enabled=”0″ global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″]El Health Center of Southeast Texas se compromete a respetar la privacidad y confidencialidad de cada uno de nuestros pacientes. De acuerdo con las normas de la pr\u00e1ctica m\u00e9dica y la Ley de Portabilidad y Responsabilidad del Seguro M\u00e9dico (HIPAA), el Health Center of Southeast Texas ha establecido una Pol\u00edtica de Privacidad.<\/p>\n

En su primera cita y luego anualmente, se le pedir\u00e1 que firme un reconocimiento de que se le ha ofrecido una copia de nuestra POL\u00cdTICA DE PRIVACIDAD.[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”on|phone” _builder_version=”4.27.4″ _module_preset=”default” background_color=”#AE966A” custom_padding=”40px|20px|65px|20px|false|true” custom_padding_tablet=”40px|20px|65px|20px|false|true” custom_padding_phone=”30px|20px|40px|20px|false|true” saved_tabs=”all” global_colors_info=”{}” global_module=”935″ theme_builder_area=”post_content”][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” width=”100%” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” header_3_text_align=”center” header_3_text_color=”#FFFFFF” header_3_font_size=”30px” header_3_line_height=”1.3em” custom_margin=”||25px||false|false” custom_margin_tablet=”” custom_margin_phone=”||20px||false|false” custom_margin_last_edited=”on|phone” animation_style=”slide” animation_direction=”bottom” animation_delay=”50ms” animation_intensity_slide=”5%” header_3_font_size_tablet=”30px” header_3_font_size_phone=”25px” header_3_font_size_last_edited=”on|phone” global_colors_info=”{}” theme_builder_area=”post_content”]<\/p>\n

Nuestra Misi\u00f3n<\/h3>\n

[\/et_pb_text][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” text_text_color=”#FFFFFF” text_orientation=”center” animation_style=”slide” animation_direction=”bottom” animation_delay=”50ms” animation_intensity_slide=”10%” global_colors_info=”{}” theme_builder_area=”post_content”]Nuestra misi\u00f3n es proporcionar una atenci\u00f3n m\u00e9dica accesible, compasiva, culturalmente competente y de calidad, asequible para todos, independientemente de la capacidad de pago.[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”0px||0px||true|false” saved_tabs=”all” global_colors_info=”{}” global_module=”911″ theme_builder_area=”post_content”][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ make_equal=”on” _builder_version=”4.27.4″ _module_preset=”default” width=”100%” max_width=”100%” custom_margin=”||-10px||false|false” custom_padding=”0px||0px||true|false” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”1_2″ module_id=”contact-form” _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”40px|20px|40px|20px|true|true” custom_padding_tablet=”||50px||false|true” custom_padding_phone=”||50px||false|true” custom_padding_last_edited=”on|tablet” custom_css_main_element=”display: flex;||flex-direction: column;||justify-content: center;” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” header_3_text_align=”center” header_3_font_size=”30px” header_3_line_height=”1.3em” max_width=”520px” max_width_tablet=”100%” max_width_phone=”100%” max_width_last_edited=”on|tablet” module_alignment=”center” custom_margin=”||25px||false|false” custom_margin_tablet=”” custom_margin_phone=”||20px||false|false” custom_margin_last_edited=”on|phone” animation_style=”slide” animation_direction=”bottom” animation_delay=”50ms” animation_intensity_slide=”5%” header_3_font_size_tablet=”30px” header_3_font_size_phone=”25px” header_3_font_size_last_edited=”on|phone” global_colors_info=”{}” theme_builder_area=”post_content”]<\/p>\n

Solicitud de Informaci\u00f3n\/Cita<\/h3>\n

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