{"id":37288,"date":"2025-11-06T10:48:00","date_gmt":"2025-11-06T09:48:00","guid":{"rendered":"https:\/\/www.grupopoliclinica.es\/?page_id=37288"},"modified":"2026-02-11T08:27:13","modified_gmt":"2026-02-11T07:27:13","slug":"request-for-access","status":"publish","type":"page","link":"https:\/\/www.grupopoliclinica.es\/en\/request-for-access\/","title":{"rendered":"Request for access"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"37288\" class=\"elementor elementor-37288 elementor-37037\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d72ab4f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d72ab4f\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-824a131\" data-id=\"824a131\" 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-18d3d49 elementor-widget-mobile__width-initial elementor-widget elementor-widget-heading\" data-id=\"18d3d49\" 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<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-4a4927a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4a4927a\" data-element_type=\"section\" data-e-type=\"section\">\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-inner-column elementor-element elementor-element-fc56135\" data-id=\"fc56135\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-d85c3ad elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"d85c3ad\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;step_type&quot;:&quot;none&quot;,&quot;step_icon_shape&quot;:&quot;none&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\" id=\"solicitud\" name=\"Solicitud Acceso\" aria-label=\"Solicitud Acceso\" novalidate=\"\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"37288\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"d85c3ad\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Request For Access - Grupo Policl\u00ednica\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"37288\"\/>\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_4da141f 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_5e049b6 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-email 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=\"email\" 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_ccfd1b3 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_bac8d92 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\tNotification method:\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_1a8c104 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_e77831a 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_853d754 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_5d6aa07 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\tData from the applicant's medical records for which access is requested\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_e4c3781 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_e7d6406 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-50 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_6ebc055 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_43dd3a5 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: #3156A3;\">*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: #3156A3;\">*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: #3156A3;\">*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_126d99d 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_126d99d]\" id=\"form-field-field_126d99d\" class=\"elementor-field elementor-size-md  elementor-acceptance-field\" required=\"required\">\n\t\t\t\t<label for=\"form-field-field_126d99d\">I have read and accept the <a href=\"\/en\/privacy-policy\/\">Privacy Policy<\/a><\/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-md\" 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\">Send<\/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 class=\"elementor-element elementor-element-062bcc4 elementor-widget elementor-widget-text-editor\" data-id=\"062bcc4\" 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 data-start=\"108\" data-end=\"354\">POLICL\u00cdNICA NTRA. SRA. DEL ROSARIO, S.L.U. is the Controller of the User\u2019s personal data and informs that such data will be processed in accordance with Regulation (EU) 2016\/679 of 27 April (GDPR) and Organic Law 3\/2018 of 5 December (LOPDGDD).<\/p><p data-start=\"108\" data-end=\"354\">The purposes of the processing are to maintain a commercial relationship (based on the legitimate interest of the Controller, art. 6.1.f GDPR) and to send communications regarding products or services (based on the consent of the Data Subject, art. 6.1.a GDPR).<\/p><p data-start=\"621\" data-end=\"857\">Data will be stored only for as long as necessary to fulfil the purposes for which they were collected or for the period required by applicable law. Once these purposes no longer apply, the data will be securely deleted or anonymized.<\/p><p data-start=\"859\" data-end=\"948\">No data will be disclosed to third parties unless there is a legal obligation to do so.<\/p><p data-start=\"950\" data-end=\"1316\">Users may exercise their rights to withdraw consent at any time, as well as their rights of access, rectification, portability, and erasure of data, and the limitation or objection to their processing. They may also file a complaint with the Spanish Supervisory Authority (<a class=\"decorated-link\" href=\"http:\/\/www.aepd.es\" target=\"_new\" rel=\"noopener\" data-start=\"1223\" data-end=\"1234\">www.aepd.es<\/a>) if they consider that the processing does not comply with current legislation.<\/p><p data-start=\"1318\" data-end=\"1464\">To exercise these rights, users can contact <a class=\"decorated-link cursor-pointer\" rel=\"noopener\" data-start=\"1364\" data-end=\"1388\">l<\/a><a class=\"decorated-link cursor-pointer\" rel=\"noopener\" data-start=\"1364\" data-end=\"1388\">opd@grupopoliclinica.es<\/a>. The Data Protection Officer can be reached at <a class=\"decorated-link cursor-pointer\" rel=\"noopener\" data-start=\"1440\" data-end=\"1459\">dpd@grupopoliclinica.es<\/a>.<\/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<\/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","protected":false},"excerpt":{"rendered":"<p>Request for Access to Medical History POLICL\u00cdNICA NTRA. SRA. DEL ROSARIO, S.L.U. is the Controller of the User\u2019s personal data and informs that such data will be processed in accordance with Regulation (EU) 2016\/679 of 27 April (GDPR) and Organic Law 3\/2018 of 5 December (LOPDGDD). The purposes of the processing are to maintain a [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"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":"disabled","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":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"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":""},"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-37288","page","type-page","status-publish","hentry"],"acf":[],"featured_image_urls":{},"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/www.grupopoliclinica.es\/en\/wp-json\/wp\/v2\/pages\/37288","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.grupopoliclinica.es\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.grupopoliclinica.es\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.grupopoliclinica.es\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.grupopoliclinica.es\/en\/wp-json\/wp\/v2\/comments?post=37288"}],"version-history":[{"count":3,"href":"https:\/\/www.grupopoliclinica.es\/en\/wp-json\/wp\/v2\/pages\/37288\/revisions"}],"predecessor-version":[{"id":38304,"href":"https:\/\/www.grupopoliclinica.es\/en\/wp-json\/wp\/v2\/pages\/37288\/revisions\/38304"}],"wp:attachment":[{"href":"https:\/\/www.grupopoliclinica.es\/en\/wp-json\/wp\/v2\/media?parent=37288"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}