{"id":544,"date":"2022-05-31T14:00:17","date_gmt":"2022-05-31T19:00:17","guid":{"rendered":"https:\/\/cherryhealth.org\/recursos-para-pacientes\/formularios\/"},"modified":"2026-07-09T14:04:32","modified_gmt":"2026-07-09T19:04:32","slug":"formularios","status":"publish","type":"page","link":"https:\/\/cherryhealth.org\/es\/recursos-para-pacientes\/formularios\/","title":{"rendered":"Documentos del paciente"},"content":{"rendered":"\r\n<section class=\"hero\" id=\"hero-block_b825426c0cfa952d245e04a882e9884d\">\r\n    <div class=\"hero-grid\">\r\n        <div class=\"hero-text\">\r\n                        <h1 class=\"hero-headline\">\r\n                                    <div class=\"hero-headline-large\">Documentos del paciente<\/div>\r\n                            <\/h1>\r\n                            <div class=\"hero-teaser\"><p>Echa un vistazo o imprime y rellena los formularios o documentos para pacientes m\u00e1s habituales haciendo clic en los enlaces que aparecen a continuaci\u00f3n.<\/p>\n<\/div>\r\n                    <\/div>\r\n\r\n        \r\n    <\/div>\r\n<\/section>\n<h3 class=\"wp-block-heading\">Formularios para pacientes<\/h3>\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2022\/08\/Telehealth-Informed-Consent-1825C_fillable.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Consentimiento informado para la telesalud<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2025\/08\/Consents-and-Acknowledgements-430P.pdf\">Consentimientos y reconocimientos<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2022\/08\/Commercial-Insurance-Medicaid-Waiver-710Psp.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Formulario de exenci\u00f3n de seguro comercial \/ Medicaid  <\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2024\/04\/Sliding-Fee-Program-Application-13020Psp.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Solicitud del Programa de pagos variables seg\u00fan sus ingresos<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2025\/07\/Financial-and-No-Show-Information-22005Psp.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Informaci\u00f3n financiera y de no presentaci\u00f3n<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2022\/08\/Adult-Consent-for-Controlled-Substances-23100C.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Consentimiento de los adultos para las sustancias controladas<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2022\/08\/Minor-Consent-for-Controlled-Substances-1805Csp.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Consentimiento del menor para sustancias controladas<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2022\/09\/Authorization-for-Release-of-Health-Information-22045Psp_fillable.pdf\">Autorizaci\u00f3n (permiso) para divulgar informaci\u00f3n sanitaria<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/mihin.org\/wp-content\/uploads\/2021\/09\/MCM-AdvanceDirective-2020.FINAL_9.13.21.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Formularios de instrucciones anticipadas de la Red de Informaci\u00f3n Sanitaria de M\u00edchigan<\/a><\/li>\n<\/ul>\n\n<h3 class=\"wp-block-heading\">Formularios del programa escolar<\/h3>\n\n<ul class=\"wp-block-list\">\n<li><strong><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2025\/03\/School-Based-Health-Center-Consent-4165P.pdf\">Formulario de consentimiento del centro de salud escolar<\/a><\/strong><\/li>\n\n\n\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2025\/03\/School-Based-Health-Center-Consent-4165Psp.pdf\">Formulario de consentimiento del centro de salud escolar (espa\u00f1ol)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2025\/12\/School-Based-Health-Center-Consent-Counseling-Services-4170P.pdf\">Consentimiento escolar E3 para el asesoramiento<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2025\/12\/School-Based-Health-Center-Consent-Counseling-Services-4170Psp.pdf\">Consentimiento escolar E3 para el asesoramiento (espa\u00f1ol)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2023\/05\/Student-Sliding-Fee-Program-Application-13021Psp.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Solicitud para el programa de tarifas variables para estudiantes<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2025\/12\/Authorization-for-Release-of-Information-to-Family-or-Friend-SBHC-805Psp.pdf\">Autorizaci\u00f3n para facilitar informaci\u00f3n a familiares o amigos<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2025\/12\/Screening-Checklist-for-Contraindications-to-Vaccines-495C_Fillable.pdf\">Lista de comprobaci\u00f3n para detectar contraindicaciones a las vacunas<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2025\/12\/Screening-Checklist-for-Contraindications-to-Vaccines-495Csp_Fillable.pdf\">Lista de comprobaci\u00f3n para detectar contraindicaciones a las vacunas (espa\u00f1ol)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2025\/12\/Refusal-To-Consent-to-Vaccination-Child-and-Adolescent-455Csp.pdf\">Negativa a dar el consentimiento para la vacunaci\u00f3n de ni\u00f1os y adolescentes<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2024\/04\/MHSAA-English-Form.pdf\">Historial m\u00e9dico de la Asociaci\u00f3n Atl\u00e9tica de Institutos de Michigan (MHSAA)  <\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2024\/04\/MHSAA-Spanish-Form.pdf\">Asociaci\u00f3n Atl\u00e9tica de Institutos de Michigan (MHSAA) HISTORIAL M\u00c9DICO (espa\u00f1ol)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2024\/03\/School-Linked-Dental-Treatment-Consent_Fillable-20215Psp.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Formulario de consentimiento para el tratamiento dental en el marco escolar<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2024\/03\/School-Linked-Vision-Treatment-Consent_Fillable-20315Psp.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Formulario de consentimiento para el tratamiento oftalmol\u00f3gico en el marco escolar<\/a><\/li>\n<\/ul>\n\n<h3 class=\"wp-block-heading\">Documentos adicionales<\/h3>\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/cherryhealth.org\/wp-content\/uploads\/2025\/08\/CherryHealthVisitorGuide.pdf\">Gu\u00eda para los visitadores de salud de Cherry<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Descargue nuestra solicitud del Programa de Tarifas M\u00f3viles y otros formularios de uso com\u00fan para pacientes.<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":295,"menu_order":5,"comment_status":"closed","ping_status":"closed","template":"template-sidebar.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-544","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/cherryhealth.org\/es\/wp-json\/wp\/v2\/pages\/544","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cherryhealth.org\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cherryhealth.org\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cherryhealth.org\/es\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cherryhealth.org\/es\/wp-json\/wp\/v2\/comments?post=544"}],"version-history":[{"count":2,"href":"https:\/\/cherryhealth.org\/es\/wp-json\/wp\/v2\/pages\/544\/revisions"}],"predecessor-version":[{"id":5727,"href":"https:\/\/cherryhealth.org\/es\/wp-json\/wp\/v2\/pages\/544\/revisions\/5727"}],"up":[{"embeddable":true,"href":"https:\/\/cherryhealth.org\/es\/wp-json\/wp\/v2\/pages\/295"}],"wp:attachment":[{"href":"https:\/\/cherryhealth.org\/es\/wp-json\/wp\/v2\/media?parent=544"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}