{"id":2231,"date":"2020-09-09T08:36:48","date_gmt":"2020-09-09T08:36:48","guid":{"rendered":"https:\/\/miranza.es\/teleconsulta\/"},"modified":"2026-04-21T12:29:36","modified_gmt":"2026-04-21T10:29:36","slug":"teleconsultation","status":"publish","type":"page","link":"https:\/\/miranza.es\/en\/teleconsultation\/","title":{"rendered":"Teleconsultation"},"content":{"rendered":"\n<div id=\"teleconsultaAtulado\" class=\"wp-block-hacce-wrapper py-70\" style=\"background-image:url(https:\/\/miranza.es\/wp-content\/uploads\/2020\/10\/a-tu-lado.jpg)\"><div class=\"container\">\n<div class=\"wp-block-hacce-wrapper row\">\n<div class=\"wp-block-hacce-wrapper col-md-6 offset-md-6 col-lg-5 offset-lg-7 wow fadeIn\">\n<h2 class=\"wp-block-heading h1 mb-4\">Always by your side<\/h2>\n\n\n\n<p>At Miranza, we want to make the best ophthalmology available to as many people as possible. Thus, we offer a teleconsultation service that complements our face-to-face care at our centres.<\/p>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div id=\"\" class=\"wp-block-hacce-wrapper\" style=\"background-color:#ddece5\"><div class=\"container\">\n<div class=\"wp-block-hacce-wrapper row\">\n<div class=\"wp-block-hacce-wrapper col-md-12\">\n<div style=\"height:75px\" aria-hidden=\"true\" class=\"wp-block-spacer d-none d-md-block\"><\/div>\n\n\n\n<h4 class=\"wp-block-heading has-text-align-center wow fadeIn\">Get a second opinion <span style=\"color:#73cf91\" class=\"has-inline-color\">easily and reliably<\/span><\/h4>\n\n\n\n<h4 class=\"wp-block-heading has-text-align-center wow fadeIn\"><strong>These are the Miranza clinics that provide this service<\/strong><\/h4>\n\n\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-medium is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"550\" height=\"350\" src=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/11\/IMO_az.png\" alt=\"\" class=\"wp-image-8499\" style=\"width:380px\" srcset=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/11\/IMO_az.png 550w, https:\/\/miranza.es\/wp-content\/uploads\/2020\/11\/IMO_az-300x191.png 300w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:1%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-medium is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"550\" height=\"350\" src=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/11\/Vissum_az.png\" alt=\"\" class=\"wp-image-8511\" style=\"width:380px\" srcset=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/11\/Vissum_az.png 550w, https:\/\/miranza.es\/wp-content\/uploads\/2020\/11\/Vissum_az-300x191.png 300w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:1%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"550\" height=\"350\" src=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/11\/IOA_az.png\" alt=\"\" class=\"wp-image-8501\" style=\"width:380px\" srcset=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/11\/IOA_az.png 550w, https:\/\/miranza.es\/wp-content\/uploads\/2020\/11\/IOA_az-300x191.png 300w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:75px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"bgazul py-100\" id=\"bloqueTeleconsulta\">\n\t<div class=\"container\">\n\t\t<div class=\"row justify-content-center\">\n\t\t\t<div class=\"col-md-10 col-lg-6 wow fadeIn\">\n\t\t\t\t<h1 class=\"verde text-uppercase text-center mb-5\">Request your teleconsultation<\/h1>\n\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t<label class=\"blanco\">Select a center<\/label>\n\t\t\t\t\t<select class=\"custom-select bgblanco\" id=\"formTeleconsultaClinica\">\n\t\t\t\t\t\t<option selected=\"selected\" value=\"\"><\/option>\n\n\t\t\t\t\t\t\t\t\t\t\t\t<option data-link=\"1\"\n\t\t\t\t\t\t\t\tdata-url=\"https:\/\/www.imo.es\/en\/online-eye-health-consultation\"\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\tdata-tarifa1=\"\"\n\t\t\t\t\t\t\t\tdata-tarifa2=\"\"\n\t\t\t\t\t\t\t\tdata-tarifa3=\"\"\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\tdata-tpv=\"\">\n\t\t\t\t\t\t\tIMO Grupo Miranza (Barcelona)\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option data-link=\"\"\n\t\t\t\t\t\t\t\tdata-url=\"\"\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\tdata-tarifa1=\"192\"\n\t\t\t\t\t\t\t\tdata-tarifa2=\"220\"\n\t\t\t\t\t\t\t\tdata-tarifa3=\"\"\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\tdata-tpv=\"7046\">\n\t\t\t\t\t\t\tVissum Grupo Miranza (Alicante)\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option data-link=\"\"\n\t\t\t\t\t\t\t\tdata-url=\"\"\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\tdata-tarifa1=\"192\"\n\t\t\t\t\t\t\t\tdata-tarifa2=\"220\"\n\t\t\t\t\t\t\t\tdata-tarifa3=\"\"\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\tdata-tpv=\"7044\">\n\t\t\t\t\t\t\tMiranza IOA (Madrid)\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/select>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t<label class=\"blanco\">Select a specialty<\/label>\n\t\t\t\t\t<select class=\"custom-select bgblanco\" id=\"formTeleconsultaEspecialidad\">\n\t\t\t\t\t\t<option selected=\"selected\" value=\"\"><\/option>\n\n\t\t\t\t\t\t\t\t\t\t\t\t<option>Cataracts<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option>Refractive<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option>Cornea<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option>Glaucoma<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option>Oculoplastic and oculofacial rejuvenation<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option>General ophthalmology<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option>Pediatric ophthalmology and strabismus<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option>Retina<\/option>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/select>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t<label class=\"blanco\">Select an ophthalmologist<\/label>\n\t\t\t\t\t<select class=\"custom-select bgblanco\" id=\"formTeleconsultaDoctor\">\n\t\t\t\t\t\t<option selected=\"selected\" value=\"\"><\/option>\n\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<optgroup label=\"Vissum Grupo Miranza (Alicante)\" data-centro=\"Vissum Grupo Miranza (Alicante)\" data-tpv=\"7046\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option data-centro=\"Vissum Grupo Miranza (Alicante)\">\n\t\t\t\t\t\t\t\t\t\t\t\tAlejandra Amesty\t\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option data-centro=\"Vissum Grupo Miranza (Alicante)\">\n\t\t\t\t\t\t\t\t\t\t\t\tJorge Ali\u00f3 Sanz\t\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option data-centro=\"Vissum Grupo Miranza (Alicante)\">\n\t\t\t\t\t\t\t\t\t\t\t\tJorge Ali\u00f3 del Barrio\t\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option data-centro=\"Vissum Grupo Miranza (Alicante)\">\n\t\t\t\t\t\t\t\t\t\t\t\tPedro Amat\t\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option data-centro=\"Vissum Grupo Miranza (Alicante)\">\n\t\t\t\t\t\t\t\t\t\t\t\tVicente Ortu\u00f1o\t\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option data-centro=\"Vissum Grupo Miranza (Alicante)\">\n\t\t\t\t\t\t\t\t\t\t\t\tLuc\u00eda Rial\t\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option data-centro=\"Vissum Grupo Miranza (Alicante)\">\n\t\t\t\t\t\t\t\t\t\t\t\tMarisa Ram\u00f3n\t\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/optgroup>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<optgroup label=\"Miranza IOA (Madrid)\" data-centro=\"Miranza IOA (Madrid)\" data-tpv=\"7044\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option data-centro=\"Miranza IOA (Madrid)\">\n\t\t\t\t\t\t\t\t\t\t\t\tNicol\u00e1s Alejandre\t\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option data-centro=\"Miranza IOA (Madrid)\">\n\t\t\t\t\t\t\t\t\t\t\t\tConstanza Barrancos\t\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option data-centro=\"Miranza IOA (Madrid)\">\n\t\t\t\t\t\t\t\t\t\t\t\tJose\u0301 Maria Soriano\t\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option data-centro=\"Miranza IOA (Madrid)\">\n\t\t\t\t\t\t\t\t\t\t\t\tDavid Mingo\t\t\t\t\t\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/optgroup>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t<\/select>\n\t\t\t\t<\/div>\n\t\t\t\t<div id=\"formTeleconsultaAlerta\" class=\"alert alert-danger fade show\" role=\"alert\" style=\"display: none;\">\n\t\t\t\t\tYou must select a center\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t<button id=\"formTeleconsultaSolicitar\" type=\"button\" class=\"btn btn-secondary ml-0 px-5 py-3\">\n\t\t\t\t\t\tRequest teleconsultation\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-12 col-lg-12\">\n\t\t\t\t<div id=\"formTeleconsulta\" class=\"bgblanco p-3 mt-5\" style=\"display:none;\">\n\t\t\t\t\t\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f7729-o1\" lang=\"es-ES\" dir=\"ltr\" data-wpcf7-id=\"7729\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/2231#wpcf7-f7729-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulario de contacto\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"7729\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"es_ES\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f7729-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:7729,&quot;conditions&quot;:[],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_rollback-cf7-5.9.4&quot;:true,&quot;notice_dismissed_rollback-cf7-5.9.6&quot;:true}}\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<input class=\"wpcf7-form-control wpcf7-hidden\" id=\"formTeleconsulta_especialidad\" value=\"\" type=\"hidden\" name=\"especialidad\" \/>\n<input class=\"wpcf7-form-control wpcf7-hidden\" id=\"formTeleconsulta_clinica\" value=\"\" type=\"hidden\" name=\"clinica\" \/>\n<input class=\"wpcf7-form-control wpcf7-hidden\" id=\"formTeleconsulta_doctor\" value=\"\" type=\"hidden\" name=\"doctor\" \/>\n<input class=\"wpcf7-form-control wpcf7-hidden\" id=\"formTeleconsulta_tarifa\" value=\"\" type=\"hidden\" name=\"tarifa\" \/>\n<input class=\"wpcf7-form-control wpcf7-hidden\" id=\"formTeleconsulta_tarifa1\" value=\"\" type=\"hidden\" name=\"tarifa1\" \/>\n<input class=\"wpcf7-form-control wpcf7-hidden\" id=\"formTeleconsulta_tarifa2\" value=\"\" type=\"hidden\" name=\"tarifa2\" \/>\n<input class=\"wpcf7-form-control wpcf7-hidden\" id=\"formTeleconsulta_tarifa3\" value=\"\" type=\"hidden\" name=\"tarifa3\" \/>\n<input class=\"wpcf7-form-control wpcf7-hidden\" id=\"formTeleconsulta_tpv\" value=\"\" type=\"hidden\" name=\"tpv_id\" \/>\n<div class=\"row\">\n\t<div class=\"col-md-12\">\n\t\t<h3 class=\"bggrisClaro p-2 mb-4\">Personal Data\n\t\t<\/h3>\n\t<\/div>\n\t<div class=\"form-group col-md-6 mb-4\">\n\t\t<p><label>Name*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nombre\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control datos-factura\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nombre\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-6 mb-4\">\n\t\t<p><label>Surname*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"apellido1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control datos-factura\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"apellido1\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-4 mb-4\">\n\t\t<p><label>ID \/ Passport number*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"dni\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dni\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-4 mb-4\">\n\t\t<p><label>Birth date*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fecha\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"fecha\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-4 mb-4\">\n\t\t<p><label>Gender*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sexo\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"sexo\" value=\"Man\" \/><span class=\"wpcf7-list-item-label\">Man<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"sexo\" value=\"Woman\" \/><span class=\"wpcf7-list-item-label\">Woman<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-12 mb-4\">\n\t\t<p><label>ID \/ Passport photograph<\/label><br \/>\n<small>Attach photo of your ID document. Format: gif jpg jpeg png pdf. Max size 16MB.<\/small><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"foto\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file form-control\" accept=\".gif,.jpg,.jpeg,.png,.pdf\" aria-invalid=\"false\" type=\"file\" name=\"foto\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-12 mb-4\">\n\t\t<p><label>Address*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"direccion\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control datos-factura\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"direccion\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-3 mb-4\">\n\t\t<p><label>Country*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pais\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required custom-select datos-factura\" aria-required=\"true\" aria-invalid=\"false\" name=\"pais\"><option value=\"\">Selecciona&#8230;<\/option><option value=\"Afganist\u00e1n\">Afganist\u00e1n<\/option><option value=\"Albania\">Albania<\/option><option value=\"Alemania\">Alemania<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Angola\">Angola<\/option><option value=\"Anguilla\">Anguilla<\/option><option value=\"Ant\u00e1rtida\">Ant\u00e1rtida<\/option><option value=\"Antigua y Barbuda\">Antigua y Barbuda<\/option><option value=\"Arabia Saudita\">Arabia Saudita<\/option><option value=\"Argelia\">Argelia<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"Aruba\">Aruba<\/option><option value=\"Australia\">Australia<\/option><option value=\"Austria\">Austria<\/option><option value=\"Azerbaijan\">Azerbaijan<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Bangladesh\">Bangladesh<\/option><option value=\"Barbados\">Barbados<\/option><option value=\"Belau\">Belau<\/option><option value=\"B\u00e9lgica\">B\u00e9lgica<\/option><option value=\"Belize\">Belize<\/option><option value=\"Benin\">Benin<\/option><option value=\"Bermuda\">Bermuda<\/option><option value=\"Bhutan\">Bhutan<\/option><option value=\"Bielorrusia\">Bielorrusia<\/option><option value=\"Birmania\">Birmania<\/option><option value=\"Bolivia\">Bolivia<\/option><option value=\"Bonaire, San Eustaquio y Saba\">Bonaire, San Eustaquio y Saba<\/option><option value=\"Bosnia y Herzegovina\">Bosnia y Herzegovina<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Brasil\">Brasil<\/option><option value=\"Brun\u00e9i\">Brun\u00e9i<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"Cabo Verde\">Cabo Verde<\/option><option value=\"Camboya\">Camboya<\/option><option value=\"Camer\u00fan\">Camer\u00fan<\/option><option value=\"Canad\u00e1\">Canad\u00e1<\/option><option value=\"Chad\">Chad<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"Chipre\">Chipre<\/option><option value=\"Ciudad del Vaticano\">Ciudad del Vaticano<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Comoras\">Comoras<\/option><option value=\"Congo (Brazzaville)\">Congo (Brazzaville)<\/option><option value=\"Congo (Kinshasa)\">Congo (Kinshasa)<\/option><option value=\"Corea del Norte\">Corea del Norte<\/option><option value=\"Corea del Sur\">Corea del Sur<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Costa de Marfil\">Costa de Marfil<\/option><option value=\"Croacia\">Croacia<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Cura\u00e7ao\">Cura\u00e7ao<\/option><option value=\"Dinamarca\">Dinamarca<\/option><option value=\"Djibouti\">Djibouti<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"Egipto\">Egipto<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"Emiratos \u00c1rabes Unidos\">Emiratos \u00c1rabes Unidos<\/option><option value=\"Eritrea\">Eritrea<\/option><option value=\"Eslovaquia\">Eslovaquia<\/option><option value=\"Eslovenia\">Eslovenia<\/option><option value=\"Espa\u00f1a\">Espa\u00f1a<\/option><option value=\"Estados Unidos (EEUU)\">Estados Unidos (EEUU)<\/option><option value=\"Estonia\">Estonia<\/option><option value=\"Etiop\u00eda\">Etiop\u00eda<\/option><option value=\"Filipinas\">Filipinas<\/option><option value=\"Finlandia\">Finlandia<\/option><option value=\"Fiyi\">Fiyi<\/option><option value=\"Francia\">Francia<\/option><option value=\"Gab\u00f3n\">Gab\u00f3n<\/option><option value=\"Gambia\">Gambia<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Gibraltar\">Gibraltar<\/option><option value=\"Granada\">Granada<\/option><option value=\"Grecia\">Grecia<\/option><option value=\"Groenlandia\">Groenlandia<\/option><option value=\"Guadalupe\">Guadalupe<\/option><option value=\"Guam\">Guam<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guayana Francesa\">Guayana Francesa<\/option><option value=\"Guernsey\">Guernsey<\/option><option value=\"Guinea\">Guinea<\/option><option value=\"Guinea Ecuatorial\">Guinea Ecuatorial<\/option><option value=\"Guinea-Bis\u00e1u\">Guinea-Bis\u00e1u<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Hait\u00ed\">Hait\u00ed<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Hong Kong\">Hong Kong<\/option><option value=\"Hungr\u00eda\">Hungr\u00eda<\/option><option value=\"India\">India<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"Irak\">Irak<\/option><option value=\"Ir\u00e1n\">Ir\u00e1n<\/option><option value=\"Irlanda\">Irlanda<\/option><option value=\"Isla Bouvet\">Isla Bouvet<\/option><option value=\"Isla Norfolk\">Isla Norfolk<\/option><option value=\"Isla Santa Elena\">Isla Santa Elena<\/option><option value=\"Isla de Man\">Isla de Man<\/option><option value=\"Isla de Navidad\">Isla de Navidad<\/option><option value=\"Islandia\">Islandia<\/option><option value=\"Islas \u00c5land\">Islas \u00c5land<\/option><option value=\"Islas Caim\u00e1n\">Islas Caim\u00e1n<\/option><option value=\"Islas Cocos\">Islas Cocos<\/option><option value=\"Islas Cook\">Islas Cook<\/option><option value=\"Islas Feroe\">Islas Feroe<\/option><option value=\"Islas Georgias y Sandwich del Sur\">Islas Georgias y Sandwich del Sur<\/option><option value=\"Islas Heard y McDonald\">Islas Heard y McDonald<\/option><option value=\"Islas Malvinas\">Islas Malvinas<\/option><option value=\"Islas Marianas del Norte\">Islas Marianas del Norte<\/option><option value=\"Islas Marshall\">Islas Marshall<\/option><option value=\"Islas Salom\u00f3n\">Islas Salom\u00f3n<\/option><option value=\"Islas Turcas y Caicos\">Islas Turcas y Caicos<\/option><option value=\"Islas V\u00edrgenes (Brit\u00e1nicas)\">Islas V\u00edrgenes (Brit\u00e1nicas)<\/option><option value=\"Islas V\u00edrgenes (EEUU)\">Islas V\u00edrgenes (EEUU)<\/option><option value=\"Islas de ultramar menores de Estados Unidos (EEUU)\">Islas de ultramar menores de Estados Unidos (EEUU)<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italia\">Italia<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Jap\u00f3n\">Jap\u00f3n<\/option><option value=\"Jersey\">Jersey<\/option><option value=\"Jordania\">Jordania<\/option><option value=\"Kazajist\u00e1n\">Kazajist\u00e1n<\/option><option value=\"Kenia\">Kenia<\/option><option value=\"Kirguist\u00e1n\">Kirguist\u00e1n<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Kuwait\">Kuwait<\/option><option value=\"Laos\">Laos<\/option><option value=\"Lesoto\">Lesoto<\/option><option value=\"Letonia\">Letonia<\/option><option value=\"L\u00edbano\">L\u00edbano<\/option><option value=\"Liberia\">Liberia<\/option><option value=\"Libia\">Libia<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Lituania\">Lituania<\/option><option value=\"Luxemburgo\">Luxemburgo<\/option><option value=\"Macao\">Macao<\/option><option value=\"Macedonia del Norte\">Macedonia del Norte<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Malasia\">Malasia<\/option><option value=\"Malaui\">Malaui<\/option><option value=\"Maldivas\">Maldivas<\/option><option value=\"Mal\u00ed\">Mal\u00ed<\/option><option value=\"Malta\">Malta<\/option><option value=\"Marruecos\">Marruecos<\/option><option value=\"Martinica\">Martinica<\/option><option value=\"Mauricio\">Mauricio<\/option><option value=\"Mauritania\">Mauritania<\/option><option value=\"Mayotte\">Mayotte<\/option><option value=\"M\u00e9xico\">M\u00e9xico<\/option><option value=\"Micronesia\">Micronesia<\/option><option value=\"Moldavia\">Moldavia<\/option><option value=\"M\u00f3naco\">M\u00f3naco<\/option><option value=\"Mongolia\">Mongolia<\/option><option value=\"Montenegro\">Montenegro<\/option><option value=\"Montserrat\">Montserrat<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"N\u00edger\">N\u00edger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Niue\">Niue<\/option><option value=\"Noruega\">Noruega<\/option><option value=\"Nueva Caledonia\">Nueva Caledonia<\/option><option value=\"Nueva Zelanda\">Nueva Zelanda<\/option><option value=\"Om\u00e1n\">Om\u00e1n<\/option><option value=\"Pa\u00edses Bajos\">Pa\u00edses Bajos<\/option><option value=\"Pakist\u00e1n\">Pakist\u00e1n<\/option><option value=\"Panam\u00e1\">Panam\u00e1<\/option><option value=\"Pap\u00faa Nueva Guinea\">Pap\u00faa Nueva Guinea<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Per\u00fa\">Per\u00fa<\/option><option value=\"Pitcairn\">Pitcairn<\/option><option value=\"Polinesia Francesa\">Polinesia Francesa<\/option><option value=\"Polonia\">Polonia<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Puerto Rico\">Puerto Rico<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Reino Unido (UK)\">Reino Unido (UK)<\/option><option value=\"Rep\u00fablica Centroafricana\">Rep\u00fablica Centroafricana<\/option><option value=\"Rep\u00fablica Checa\">Rep\u00fablica Checa<\/option><option value=\"Rep\u00fablica Dominicana\">Rep\u00fablica Dominicana<\/option><option value=\"Reuni\u00f3n\">Reuni\u00f3n<\/option><option value=\"Ruanda\">Ruanda<\/option><option value=\"Rumania\">Rumania<\/option><option value=\"Rusia\">Rusia<\/option><option value=\"Sahara Occidental\">Sahara Occidental<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"Samoa Americana\">Samoa Americana<\/option><option value=\"San Bartolom\u00e9\">San Bartolom\u00e9<\/option><option value=\"San Crist\u00f3bal y Nieves\">San Crist\u00f3bal y Nieves<\/option><option value=\"San Marino\">San Marino<\/option><option value=\"San Mart\u00edn (parte de Francia)\">San Mart\u00edn (parte de Francia)<\/option><option value=\"San Mart\u00edn (parte de Holanda)\">San Mart\u00edn (parte de Holanda)<\/option><option value=\"San Pedro y Miquel\u00f3n\">San Pedro y Miquel\u00f3n<\/option><option value=\"San Vicente y las Granadinas\">San Vicente y las Granadinas<\/option><option value=\"Santa Luc\u00eda\">Santa Luc\u00eda<\/option><option value=\"Santo Tom\u00e9 y Pr\u00edncipe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Serbia\">Serbia<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Sierra Leona\">Sierra Leona<\/option><option value=\"Singapur\">Singapur<\/option><option value=\"Siria\">Siria<\/option><option value=\"Somalia\">Somalia<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Suazilandia\">Suazilandia<\/option><option value=\"Sud\u00e1frica\">Sud\u00e1frica<\/option><option value=\"Sud\u00e1n\">Sud\u00e1n<\/option><option value=\"Sud\u00e1n del Sur\">Sud\u00e1n del Sur<\/option><option value=\"Suecia\">Suecia<\/option><option value=\"Suiza\">Suiza<\/option><option value=\"Surinam\">Surinam<\/option><option value=\"Svalbard y Jan Mayen\">Svalbard y Jan Mayen<\/option><option value=\"Tailandia\">Tailandia<\/option><option value=\"Taiw\u00e1n\">Taiw\u00e1n<\/option><option value=\"Tanzania\">Tanzania<\/option><option value=\"Tayikist\u00e1n\">Tayikist\u00e1n<\/option><option value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\">Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"Territorios Palestinos\">Territorios Palestinos<\/option><option value=\"Territorios australes franceses\">Territorios australes franceses<\/option><option value=\"Timor Oriental\">Timor Oriental<\/option><option value=\"Togo\">Togo<\/option><option value=\"Tokelau\">Tokelau<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinidad y Tobago\">Trinidad y Tobago<\/option><option value=\"T\u00fanez\">T\u00fanez<\/option><option value=\"Turkmenist\u00e1n\">Turkmenist\u00e1n<\/option><option value=\"Turqu\u00eda\">Turqu\u00eda<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"Ucrania\">Ucrania<\/option><option value=\"Uganda\">Uganda<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Uzbekist\u00e1n\">Uzbekist\u00e1n<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Venezuela\">Venezuela<\/option><option value=\"Vietnam\">Vietnam<\/option><option value=\"Wallis y Futuna\">Wallis y Futuna<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabue\">Zimbabue<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-3 mb-4\">\n\t\t<p><label>Province*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"provincia\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control datos-factura\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"provincia\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"provincia-select\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required custom-select datos-factura d-none\" aria-required=\"true\" aria-invalid=\"false\" name=\"provincia-select\"><option value=\"\u00c1lava\">\u00c1lava<\/option><option value=\"Albacete\">Albacete<\/option><option value=\"Alicante\/Alacant\">Alicante\/Alacant<\/option><option value=\"Almer\u00eda\">Almer\u00eda<\/option><option value=\"Asturias\">Asturias<\/option><option value=\"\u00c1vila\">\u00c1vila<\/option><option value=\"Badajoz\">Badajoz<\/option><option value=\"Barcelona\">Barcelona<\/option><option value=\"Burgos\">Burgos<\/option><option value=\"C\u00e1ceres\">C\u00e1ceres<\/option><option value=\"C\u00e1diz\">C\u00e1diz<\/option><option value=\"Cantabria\">Cantabria<\/option><option value=\"Castell\u00f3n\/Castell\u00f3\">Castell\u00f3n\/Castell\u00f3<\/option><option value=\"Ceuta\">Ceuta<\/option><option value=\"Ciudad Real\">Ciudad Real<\/option><option value=\"C\u00f3rdoba\">C\u00f3rdoba<\/option><option value=\"Cuenca\">Cuenca<\/option><option value=\"Girona\">Girona<\/option><option value=\"Las Palmas\">Las Palmas<\/option><option value=\"Granada\">Granada<\/option><option value=\"Guadalajara\">Guadalajara<\/option><option value=\"Guip\u00fazcoa\">Guip\u00fazcoa<\/option><option value=\"Huelva\">Huelva<\/option><option value=\"Huesca\">Huesca<\/option><option value=\"Illes Balears\">Illes Balears<\/option><option value=\"Ja\u00e9n\">Ja\u00e9n<\/option><option value=\"A Coru\u00f1a\">A Coru\u00f1a<\/option><option value=\"La Rioja\">La Rioja<\/option><option value=\"Le\u00f3n\">Le\u00f3n<\/option><option value=\"Lleida\">Lleida<\/option><option value=\"Lugo\">Lugo<\/option><option value=\"Madrid\">Madrid<\/option><option value=\"M\u00e1laga\">M\u00e1laga<\/option><option value=\"Melilla\">Melilla<\/option><option value=\"Murcia\">Murcia<\/option><option value=\"Navarra\">Navarra<\/option><option value=\"Ourense\">Ourense<\/option><option value=\"Palencia\">Palencia<\/option><option value=\"Pontevedra\">Pontevedra<\/option><option value=\"Salamanca\">Salamanca<\/option><option value=\"Segovia\">Segovia<\/option><option value=\"Sevilla\">Sevilla<\/option><option value=\"Soria\">Soria<\/option><option value=\"Tarragona\">Tarragona<\/option><option value=\"Santa Cruz de Tenerife\">Santa Cruz de Tenerife<\/option><option value=\"Teruel\">Teruel<\/option><option value=\"Toledo\">Toledo<\/option><option value=\"Valencia\/Val\u00e9ncia\">Valencia\/Val\u00e9ncia<\/option><option value=\"Valladolid\">Valladolid<\/option><option value=\"Vizcaya\">Vizcaya<\/option><option value=\"Zamora\">Zamora<\/option><option value=\"Zaragoza\">Zaragoza<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-3 mb-4\">\n\t\t<p><label>City*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"localidad\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control datos-factura\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"localidad\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-3 mb-4\">\n\t\t<p><label>Postcode*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cp\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control datos-factura\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cp\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-4 mb-4\">\n\t\t<p><label>Telephone*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telefono\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telefono\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-4 mb-4\">\n\t\t<p><label>Email*<\/label><br \/>\n<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 form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-4 mb-4\">\n\t\t<p><label>Please, retype your e-mail address*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-2\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-12\">\n\t\t<h3 class=\"bggrisClaro p-2 mb-4\">Patient data\n\t\t<\/h3>\n\t<\/div>\n\t<div class=\"form-group col-md-12 mb-4\">\n\t\t<p><label>Who is the patient?*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"paciente\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"paciente\" value=\"Myself\" \/><span class=\"wpcf7-list-item-label\">Myself<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"paciente\" value=\"Another person\" \/><span class=\"wpcf7-list-item-label\">Another person<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div id=\"formTeleconsultaOtroPaciente\" style=\"display:none;\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"row\">\n\t\t\t\t<div class=\"form-group col-md-6 mb-4\">\n\t\t\t\t\t<p><label>Name*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nombre-paciente\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nombre-paciente\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group col-md-6 mb-4\">\n\t\t\t\t\t<p><label>Surname*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"apellido1-paciente\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"apellido1-paciente\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group col-md-4 mb-4\">\n\t\t\t\t\t<p><label>ID\/ Passport number*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"dni-paciente\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dni-paciente\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group col-md-4 mb-4\">\n\t\t\t\t\t<p><label>Birth date*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fecha-paciente\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date form-control\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"fecha-paciente\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group col-md-4 mb-4\">\n\t\t\t\t\t<p><label>Gender*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sexo-paciente\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"sexo-paciente\" value=\"Man\" \/><span class=\"wpcf7-list-item-label\">Man<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"sexo-paciente\" value=\"Woman\" \/><span class=\"wpcf7-list-item-label\">Woman<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group col-md-12 mb-4\">\n\t\t\t\t\t<p><label>ID \/ Passport photograph<\/label><br \/>\n<small>Attach photograph of your identity document. Format: gif jpg jpeg png pdf. Max size 16MB.<\/small><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"foto-paciente\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file form-control\" accept=\".gif,.jpg,.jpeg,.png,.pdf\" aria-invalid=\"false\" type=\"file\" name=\"foto-paciente\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-12\">\n\t\t<h3 class=\"bggrisClaro p-2 mb-4\">Medical \/ Ophthalmological data\n\t\t<\/h3>\n\t<\/div>\n\t<div class=\"form-group col-md-12 mb-4\">\n\t\t<p><label>What is the reason of your consultation?*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"motivo\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" name=\"motivo\"><\/textarea><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-12 mb-4\">\n\t\t<p><label>Is this your first visit?*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"primera_visita\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"primera_visita\" value=\"Yes it&#039;s my first visit\" \/><span class=\"wpcf7-list-item-label\">Yes it&#039;s my first visit<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"primera_visita\" value=\"No, I am a current patient\" \/><span class=\"wpcf7-list-item-label\">No, I am a current patient<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div id=\"formTeleconsultaPrimeraVisita\" style=\"display:none;\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"row\">\n\t\t\t\t<div class=\"form-group col-md-12 mb-4\">\n\t\t\t\t\t<p>Please complete the following questionnaire with the information you know:\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group col-md-12 mb-4\">\n\t\t\t\t\t<p><label>Do you have any known allergies?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"datos-medicos-1\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"datos-medicos-1\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"datos-medicos-1\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group col-md-12 mb-4\">\n\t\t\t\t\t<p><label>Do you have high blood pressure?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"datos-medicos-2\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"datos-medicos-2\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"datos-medicos-2\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group col-md-12 mb-4\">\n\t\t\t\t\t<p><label>Are you diabetic (high sugar levels)?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"datos-medicos-3\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"datos-medicos-3\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"datos-medicos-3\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group col-md-12 mb-4\">\n\t\t\t\t\t<p><label>Do you have heart problems?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"datos-medicos-4\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"datos-medicos-4\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"datos-medicos-4\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group col-md-12 mb-4\">\n\t\t\t\t\t<p><label>Do you take anticoagulants or antiaggregant ( aspirin\/sintrom,etc)?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"datos-medicos-5\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"datos-medicos-5\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"datos-medicos-5\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group col-md-12 mb-4\">\n\t\t\t\t\t<p><label>Do you have high cholesterol?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"datos-medicos-6\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"datos-medicos-6\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"datos-medicos-6\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group col-md-12 mb-4\">\n\t\t\t\t\t<p><label>Do you have thyroid problems?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"datos-medicos-7\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"datos-medicos-7\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"datos-medicos-7\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group col-md-12 mb-4\">\n\t\t\t\t\t<p><label>Do you have respiratory problems such as chronic bronchitis or asthma?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"datos-medicos-8\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"datos-medicos-8\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"datos-medicos-8\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group col-md-12 mb-4\">\n\t\t\t\t\t<p><label>Any other medical problems or current treatment? If yes, have you had any surgical procedures previously, which ones and why?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"datos-medicos-9\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea form-control\" aria-invalid=\"false\" name=\"datos-medicos-9\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group col-md-12 mb-4\">\n\t\t\t\t\t<p><label>Have you had surgery previously? Which ones and for what reason?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"datos-medicos-10\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea form-control\" aria-invalid=\"false\" name=\"datos-medicos-10\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group col-md-12 mb-4\">\n\t\t\t\t\t<p><label>Have you ever had surgery or laser procedures, injections, etc., in your eyes?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"datos-medicos-11\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"datos-medicos-11\" value=\"S\u00ed\" \/><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"datos-medicos-11\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group col-md-12 mb-4\">\n\t\t\t\t\t<p><label>Do you put on or do you take some medication for an eye problem?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"datos-medicos-12\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"datos-medicos-12\" value=\"S\u00ed\" \/><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"datos-medicos-12\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group col-md-12 mb-4\">\n\t\t\t\t\t<p><label>Do you know your current level of vision?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"datos-medicos-13\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"datos-medicos-13\" value=\"S\u00ed\" \/><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"datos-medicos-13\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-group col-md-12 mb-4\">\n\t\t\t\t\t<p><label>In case of wearing glasses or contact lenses, do you know your approximate graduation?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"datos-medicos-14\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"datos-medicos-14\" value=\"S\u00ed\" \/><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"datos-medicos-14\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-12\">\n\t\t<h3 class=\"bggrisClaro p-2 mb-4\">Invoicing details\n\t\t<\/h3>\n\t<\/div>\n\t<div class=\"form-group col-md-6 mb-4\">\n\t\t<p><label>Name and surname or company<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nombre-facturacion\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nombre-facturacion\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-6 mb-4\">\n\t\t<p><label> Address<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"direccion-facturacion\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"direccion-facturacion\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-3 mb-4\">\n\t\t<p><label>Country<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pais-facturacion\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pais-facturacion\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-3 mb-4\">\n\t\t<p><label>Province<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"provincia-facturacion\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"provincia-facturacion\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-3 mb-4\">\n\t\t<p><label>City<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"localidad-facturacion\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"localidad-facturacion\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-3 mb-4\">\n\t\t<p><label>Postcode<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cp-facturacion\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cp-facturacion\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-12\">\n\t\t<h3 class=\"bggrisClaro p-2 mb-4\"> Reports\n\t\t<\/h3>\n\t<\/div>\n\t<div class=\"form-group col-md-12 mb-4\">\n\t\t<p><small>You can send us old evidence as additional information, but we advise you to add evidence with a recent date (preferably not more than 30 days), since we cannot guarantee a reliable orientation based on older evidence. Max size 16MB.<\/small>\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"informes\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-drag-n-drop-file d-none\" aria-invalid=\"false\" type=\"file\" multiple=\"multiple\" data-name=\"informes\" data-id=\"7729\" data-version=\"free version 1.3.8.5\" accept=\".\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-12 mb-4\" id=\"formTeleconsultaDomicilio\" style=\"display:none;\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"domicilio\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"domicilio\" value=\"I want to undergo a basic eye checkup at my home \/ workplace before teleconsultation with the ophthalmologist\" \/><span class=\"wpcf7-list-item-label\">I want to undergo a basic eye checkup at my home \/ workplace before teleconsultation with the ophthalmologist<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-12 mb-2\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-342\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-342\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I have read and accept the <a href=\"\/en\/consentimiento-informado\/\" target=\"_blank\">informed consent document for ophthalmic video consultation<\/a> <sup>*<\/sup><\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-12 mb-4\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-343\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-343\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I have read and accept the <a href=\"\/en\/data-treatment\/\" target=\"_blank\">privacy polic<\/a> and the <a href=\"\/en\/politica-de-cancelacion\/\" target=\"_blank\">cancellation policy<\/a> <sup>*<\/sup><\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-12 mb-4 bggrisClaro py-3\">\n\t\t<h2>Price of consultation: <strong><span id=\"precioTeleconsulta\"><\/span>\u20ac<\/strong>\n\t\t<\/h2>\n\t<\/div>\n\t<div class=\"form-group col-md-12\">\n\t\t<p>\t\t<div class=\"cf7md-item mdc-layout-grid__cell mdc-layout-grid__cell--span-12\">\n\t\t\t\n<small class=\"text-muted mt-4 d-block\"><sup>*<\/sup> Required fields<\/small><br \/>\n\t\t<\/div>\n\t\t\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-group col-md-12\">\n\t<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n\t<\/div>\n\t<div class=\"form-group col-md-12\">\n\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner btn btn-secondary\" type=\"submit\" value=\"Process inquiry\" \/>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<\/form>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n<form id=\"formTeleconsultaTPV\" method=\"POST\" action=\"https:\/\/sis.redsys.es\/sis\/realizarPago\">\n<\/form>\n\n<script>\n\tjQuery(document).ready(function($) {\n\n\t\t\n\t\t\/\/ Al cambiar el select de cl\u00ednica\n\t\t$('#formTeleconsultaClinica').off().on('change', function() {\n\t\t\tvar clinica = $(this).val();\n\t\t\tvar link = $(this).find(':selected').data('link');\n\t\t\tvar tpv = $(this).find(':selected').data('tpv');\n\t\t\t$('#formTeleconsulta_clinica').val(clinica); \/\/ Actualizar input cl\u00ednica\n\t\t\t$('#formTeleconsulta_tpv').val(tpv); \/\/ Actualizar input TPV\n\t\t\t$('#formTeleconsulta_doctor').val(''); \/\/ Vaciar input doctor\n\t\t\tlimpiar_formulario_teleconsulta(); \/\/ Limpiar formulario\n\t\t\tactualizar_doctores(clinica, link) \/\/ Actualizar lista de doctores\n\t\t});\n\t\t\n\t\t\t\t\t\t\t\t\t\t\n\t\t\/\/ Al cambiar el select de doctor\n\t\t$('#formTeleconsultaDoctor').off().on('change', function() {\n\t\t\tvar doctor = $(this).val();\n\t\t\tvar centro = $(this).find(':selected').data('centro');\n\t\t\t\/\/console.log('Doctor: ' + doctor);\n\t\t\t\/\/console.log('Centro: ' + centro);\n\t\t\t$('#formTeleconsulta_clinica').val(centro); \/\/ Actualizar input cl\u00ednica\n\t\t\t$('#formTeleconsulta_doctor').val(doctor); \/\/ Actualizar input doctor\n\t\t\tlimpiar_formulario_teleconsulta(); \/\/ Limpiar formulario\n\t\t\t$('#formTeleconsultaClinica').val(centro); \/\/ Seleccionar centro\n\t\t});\n\n\t\t\/\/ Al pulsar bot\u00f3n de Solicitar teleconsulta\n\t\t$('#formTeleconsultaSolicitar').on('click', function() {\n\t\t\t$('#formTeleconsultaAlerta').hide(); \/\/ Ocultar alerta\n\t\t\tif ($('#formTeleconsultaClinica').val() == '') { \/\/ Si no hay cl\u00ednica seleccionada mostrar alerta\n\t\t\t\t$('#formTeleconsultaAlerta').show();\n\t\t\t} else {\n\t\t\t\tvar link = $('#formTeleconsultaClinica').find(':selected').data('link');\n\t\t\t\tvar url = $('#formTeleconsultaClinica').find(':selected').data('url');\n\t\t\t\tif (link == '1') { \/\/ Si hay cl\u00ednica con link externo abrir p\u00e1gina\n\t\t\t\t\twindow.open(url);\n\t\t\t\t} else { \/\/ Si hay cl\u00ednica sin link externo mostrar formulario\n\t\t\t\t\tvar especialidad = $('#formTeleconsultaEspecialidad').val();\n\t\t\t\t\tvar clinica = $('#formTeleconsultaClinica').val();\n\t\t\t\t\tvar tpv = $('#formTeleconsultaClinica').find(':selected').data('tpv')\n\t\t\t\t\tvar doctor = $('#formTeleconsultaDoctor').val();\n\t\t\t\t\tvar tarifa1 = $('#formTeleconsultaClinica').find(':selected').data('tarifa1');\n\t\t\t\t\tvar tarifa2 = $('#formTeleconsultaClinica').find(':selected').data('tarifa2');\n\t\t\t\t\tvar tarifa3 = $('#formTeleconsultaClinica').find(':selected').data('tarifa3');\n\t\t\t\t\tmostrar_formulario_teleconsulta(especialidad, clinica, tpv, doctor, tarifa1, tarifa2, tarifa3);\n\t\t\t\t}\n\t\t\t}\n\t\t});\n\n\t\t\/\/ Mostrar select de provincias si el pa\u00eds es Espa\u00f1a\n\t\t$('select[name=\"pais\"]').on('change', function() {\n\t\t\tvar pais = $(this).val();\n\t\t\t$('input[name=\"provincia\"]').val($('select[name=\"provincia-select\"]').val());\n\t\t\tif (pais == 'Espa\u00f1a') {\n\t\t\t\t$('input[name=\"provincia\"]').hide();\n\t\t\t\t$('select[name=\"provincia-select\"]').removeClass('d-none');\n\t\t\t} else {\n\t\t\t\t$('select[name=\"provincia-select\"]').addClass('d-none');\n\t\t\t\t$('input[name=\"provincia\"]').show();\n\t\t\t}\n\t\t});\n\n\t\t\/\/ Mostrar casilla de visita a domicilio si la provincia es Madrid y existe tarifa 3 (a domicilio)\n\t\t$('select[name=\"provincia-select\"]').on('change', function() {\n\t\t\tvar provincia = $(this).val();\n\t\t\tvar tarifa3 = $('#formTeleconsulta_tarifa3').val();\n\t\t\t$('input[name=\"provincia\"]').val(provincia);\n\t\t\tif (provincia == 'Madrid' && tarifa3 != '') {\n\t\t\t\t$('#formTeleconsultaDomicilio').show();\n\t\t\t} else {\n\t\t\t\t$('#formTeleconsultaDomicilio').hide();\n\t\t\t}\n\t\t});\n\n\t\t\/\/ Mostrar datos de Otro paciente\n\t\t$('input[name=\"paciente\"]').on('change', function() {\n\t\t\tvar paciente = $(this).val();\n\t\t\tif (paciente == 'Otra persona' || paciente == 'Another person') {\n\t\t\t\t$('#formTeleconsultaOtroPaciente').show();\n\t\t\t} else {\n\t\t\t\t$('#formTeleconsultaOtroPaciente').hide();\n\t\t\t}\n\t\t});\n\n\t\t\/\/ Nuevo paciente\/Paciente existente\n\t\t$('input[name=\"primera_visita\"]').on('change', function() {\n\t\t\tvar paciente = $(this).val();\n\t\t\tvar domicilio = $('input[name=\"domicilio\"]:checked').val();\n\t\t\tif (paciente == 'S\u00ed, es mi primera visita' || paciente == \"Yes it's my first visit\") {\n\t\t\t\t$('#formTeleconsultaPrimeraVisita').show();\n\t\t\t\tif (domicilio == 'S\u00ed') {\n\t\t\t\t\t\/\/ Cargar tarifa 3 (a domicilio)\n\t\t\t\t\tvar tarifa = $('#formTeleconsulta_tarifa3').val();\n\t\t\t\t\t$('#formTeleconsulta_tarifa').val(tarifa);\n\t\t\t\t\t$('#precioTeleconsulta').text(tarifa);\n\t\t\t\t} else {\n\t\t\t\t\t\/\/ Cargar tarifa 2 (nuevo cliente)\n\t\t\t\t\tvar tarifa = $('#formTeleconsulta_tarifa2').val();\n\t\t\t\t\t$('#formTeleconsulta_tarifa').val(tarifa);\n\t\t\t\t\t$('#precioTeleconsulta').text(tarifa);\n\t\t\t\t}\n\t\t\t} else {\n\t\t\t\t$('#formTeleconsultaPrimeraVisita').hide();\n\t\t\t\tif (domicilio == 'S\u00ed') {\n\t\t\t\t\t\/\/ Cargar tarifa 3 (a domicilio)\n\t\t\t\t\tvar tarifa = $('#formTeleconsulta_tarifa3').val();\n\t\t\t\t\t$('#formTeleconsulta_tarifa').val(tarifa);\n\t\t\t\t\t$('#precioTeleconsulta').text(tarifa);\n\t\t\t\t} else {\n\t\t\t\t\t\/\/ Cargar tarifa 1 (cliente)\n\t\t\t\t\tvar tarifa = $('#formTeleconsulta_tarifa1').val();\n\t\t\t\t\t$('#formTeleconsulta_tarifa').val(tarifa);\n\t\t\t\t\t$('#precioTeleconsulta').text(tarifa);\n\t\t\t\t}\n\t\t\t}\n\t\t});\n\n\t\t\/\/ Visita a domicilio si\/no\n\t\t$('input[name=\"domicilio\"]').on('change', function() {\n\t\t\tif ($(this).prop('checked')) {\n\t\t\t\t\/\/ Cargar tarifa 3 (a domicilio)\n\t\t\t\tvar tarifa = $('#formTeleconsulta_tarifa3').val();\n\t\t\t\t$('#formTeleconsulta_tarifa').val(tarifa);\n\t\t\t\t$('#precioTeleconsulta').text(tarifa);\n\t\t\t} else {\n\t\t\t\tvar paciente = $('input[name=\"primera_visita\"]:checked').val();\n\t\t\t\tif (paciente == 'S\u00ed, es mi primera visita') {\n\t\t\t\t\t\/\/ Cargar tarifa 2 (nuevo cliente)\n\t\t\t\t\tvar tarifa = $('#formTeleconsulta_tarifa2').val();\n\t\t\t\t\t$('#formTeleconsulta_tarifa').val(tarifa);\n\t\t\t\t\t$('#precioTeleconsulta').text(tarifa);\n\t\t\t\t} else {\n\t\t\t\t\t\/\/ Cargar tarifa 1 (cliente)\n\t\t\t\t\tvar tarifa = $('#formTeleconsulta_tarifa1').val();\n\t\t\t\t\t$('#formTeleconsulta_tarifa').val(tarifa);\n\t\t\t\t\t$('#precioTeleconsulta').text(tarifa);\n\t\t\t\t}\n\t\t\t}\n\t\t});\n\n\t\t\/\/ Copiar datos de facturaci\u00f3n\n\t\t$('.datos-factura').on('focusout', function() {\n\t\t\tvar nombre = $('input[name=\"nombre\"]').val();\n\t\t\tvar apellido1 = $('input[name=\"apellido1\"]').val();\n\t\t\tif (($('input[name=\"apellido2\"]').length > 0)) {\n\t\t\t\tvar apellido2 = $('input[name=\"apellido2\"]').val();\n\t\t\t} else {\n\t\t\t\tvar apellido2 = '';\n\t\t\t}\n\t\t\tvar direccion = $('input[name=\"direccion\"]').val();\n\t\t\tvar cp = $('input[name=\"cp\"]').val();\n\t\t\tvar localidad = $('input[name=\"localidad\"]').val();\n\t\t\tvar provincia = $('input[name=\"provincia\"]').val();\n\t\t\tvar provincia2 = $('select[name=\"provincia-select\"]').val();\n\t\t\tvar pais = $('select[name=\"pais\"]').val();\n\t\t\t$('input[name=\"nombre-facturacion\"]').val(nombre + ' ' + apellido1 + ' ' + apellido2);\n\t\t\t$('input[name=\"direccion-facturacion\"]').val(direccion);\n\t\t\t$('input[name=\"cp-facturacion\"]').val(cp);\n\t\t\t$('input[name=\"localidad-facturacion\"]').val(localidad);\n\t\t\tif (provincia2 != '') {\n\t\t\t\t$('input[name=\"provincia-facturacion\"]').val(provincia2);\n\t\t\t} else {\n\t\t\t\t$('input[name=\"provincia-facturacion\"]').val(provincia);\n\t\t\t}\n\t\t\t$('input[name=\"pais-facturacion\"]').val(pais);\n\t\t});\n\n\t\tfunction actualizar_doctores(clinica, link) {\n\t\t\t$('#formTeleconsultaDoctor').val(''); \/\/ Deseleccionar doctor\n\t\t\tif (clinica != '') {\n\t\t\t\t\/\/ Si la cl\u00ednica tiene link externo abrir\n\t\t\t\tif (link == '1') {\n\t\t\t\t\tvar url = $('#formTeleconsultaClinica').find(':selected').data('url');\n\t\t\t\t\twindow.open(url);\n\t\t\t\t} else {\n\t\t\t\t\t$(\"#formTeleconsultaDoctor\").prop('disabled', false);\n\t\t\t\t}\n\t\t\t\t\/\/ Mostrar doctores de la cl\u00ednica seleccionada\n\t\t\t\t$(\"#formTeleconsultaDoctor optgroup\").hide();\n\t\t\t\t$(\"#formTeleconsultaDoctor optgroup option\").hide();\n\t\t\t\t$(\"#formTeleconsultaDoctor optgroup[data-centro='\" + clinica + \"']\").show();\n\t\t\t\t$(\"#formTeleconsultaDoctor optgroup[data-centro='\" + clinica + \"'] option\").show();\n\t\t\t} else {\n\t\t\t\t\/\/ Si no hay cl\u00ednica mostrar todos los doctores\n\t\t\t\t$(\"#formTeleconsultaDoctor optgroup\").show();\n\t\t\t\t$(\"#formTeleconsultaDoctor\").prop('disabled', false);\n\t\t\t}\n\t\t}\n\n\t\tfunction mostrar_formulario_teleconsulta(especialidad, clinica, tpv, doctor, tarifa1, tarifa2, tarifa3) {\n\t\t\t\/\/ Cargar datos de selecci\u00f3n en el formulario\n\t\t\t$('#formTeleconsulta_especialidad').val(especialidad);\n\t\t\t$('#formTeleconsulta_clinica').val(clinica);\n\t\t\t$('#formTeleconsulta_tpv').val(tpv);\n\t\t\t$('#formTeleconsulta_doctor').val(doctor);\n\t\t\t$('#formTeleconsulta_tarifa').val(tarifa2); \/\/ La tarifa seleccionada por defecto es la 2 (nuevo cliente)\n\t\t\t$('#formTeleconsulta_tarifa1').val(tarifa1);\n\t\t\t$('#precioTeleconsulta').text(tarifa2);\n\t\t\t$('#formTeleconsulta_tarifa2').val(tarifa2);\n\t\t\t$('#formTeleconsulta_tarifa3').val(tarifa3);\n\t\t\t$('#formTeleconsulta').show(); \/\/ Mostrar formulario\n\t\t\t$('html, body').animate({\n\t\t\t\tscrollTop: $('#formTeleconsulta').offset().top - 150\n\t\t\t}, 400);\n\t\t}\n\n\t\tfunction limpiar_formulario_teleconsulta() {\n\t\t\t$('#formTeleconsulta form').trigger('reset'); \/\/ Resetear campos\n\t\t\t$('#formTeleconsulta').hide(); \/\/ Ocultar formulario\n\t\t\t$('select[name=\"provincia-select\"]').addClass('d-none'); \/\/ Ocultar select de provincia\n\t\t\t$('input[name=\"provincia\"]').show(); \/\/ Mostrar input de provincia\n\t\t\t$('#formTeleconsultaOtroPaciente').hide(); \/\/ Ocultar otro paciente\n\t\t\t$('#formTeleconsultaPrimeraVisita').hide(); \/\/ Ocultar datos m\u00e9dicos\n\t\t\t$('#formTeleconsultaDomicilio').hide(); \/\/ Ocultar visita a domicilio\n\t\t}\n\n\t\t\/\/ Despu\u00e9s de enviar el mail de solicitud enviar a pasarela de pago\n\t\tdocument.addEventListener('wpcf7mailsent', function(event) {\n\t\t\tif ('4470' == event.detail.contactFormId || '7729' == event.detail.contactFormId) {\n\t\t\t\t\/\/ Datos necesarios para guardar el registro\n\t\t\t\tvar especialidad = $('#formTeleconsulta_especialidad').val();\n\t\t\t\tvar clinica = $('#formTeleconsulta_clinica').val();\n\t\t\t\tvar tpv = $('#formTeleconsulta_tpv').val();\n\t\t\t\tvar doctor = $('#formTeleconsulta_doctor').val();\n\t\t\t\tvar tarifa = $('#formTeleconsulta_tarifa').val();\n\t\t\t\tvar nombre = $('input[name=\"nombre\"]').val() + ' ' + $('input[name=\"apellido1\"]').val();\n\t\t\t\tvar telefono = $('input[name=\"telefono\"]').val();\n\t\t\t\tvar email = $('input[name=\"email\"]').val();\n\t\t\t\t\/\/ Guardar registro de la teleconsulta por ajax\n\t\t\t\t$.ajax({\n\t\t\t\t\turl: 'https:\/\/miranza.es\/wp-admin\/admin-ajax.php',\n\t\t\t\t\ttype: 'post',\n\t\t\t\t\tdata: {\n\t\t\t\t\t\taction: 'cargartpv',\n\t\t\t\t\t\tespecialidad: especialidad,\n\t\t\t\t\t\tclinica: clinica,\n\t\t\t\t\t\ttpv: tpv,\n\t\t\t\t\t\tdoctor: doctor,\n\t\t\t\t\t\ttarifa: tarifa,\n\t\t\t\t\t\tnombre: nombre,\n\t\t\t\t\t\ttelefono: telefono,\n\t\t\t\t\t\temail: email\n\t\t\t\t\t},\n\t\t\t\t\tsuccess: function(data) {\n\t\t\t\t\t\t\/\/ Obtener resultado de APIRedsys y enviar a pasarela de pago\n\t\t\t\t\t\tjQuery('#formTeleconsultaTPV').html(data);\n\t\t\t\t\t\tjQuery('#formTeleconsultaTPV').submit();\n\t\t\t\t\t},\n\t\t\t\t\terror: function() {\n\t\t\t\t\t\talert('Ha ocurrido alg\u00fan error');\n\t\t\t\t\t}\n\t\t\t\t});\n\t\t\t}\n\t\t}, false);\n\n\t});\n<\/script>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div id=\"\" class=\"wp-block-hacce-wrapper\"><div class=\"container\">\n<div class=\"wp-block-hacce-wrapper row\">\n<div class=\"wp-block-hacce-wrapper col-md-12 col-teleconsulta-ayuda\">\n<h3 class=\"wp-block-heading wow fadeIn h1\"><mark style=\"background-color:rgba(0, 0, 0, 0);color:#73cf91\" class=\"has-inline-color\">Do you need more help?<\/mark><\/h3>\n\n\n\n<p><a class=\"btn-transparente\" href=\"https:\/\/miranza.es\/en\/contact-form\/\"> Contact us <\/a><\/p>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-hacce-wrapper py-100\"><div class=\"container\">\n<div class=\"wp-block-hacce-wrapper row\">\n<div class=\"wp-block-hacce-wrapper col-lg-12 wow fadeIn\">\n<h6 class=\"wp-block-heading mb-5\"><strong>WHAT DOES MIRANZA\u2019S TELECONSULTATION INVOLVE?<\/strong><\/h6>\n<\/div>\n\n\n\n<div class=\"wp-block-hacce-wrapper col-lg-6\">\n<div class=\"bloqueIconoTexto wow fadeIn\">\n\t<img decoding=\"async\" src=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/10\/ico-1.png\" alt=\"\">\n\t<div><p>A <b>Miranza expert<\/b> will assess your case and accompany you through the eye process that concerns you in an online, safe and private environment.<\/p>\n<\/div>\n<\/div>\n\n\n<div class=\"bloqueIconoTexto wow fadeIn\">\n\t<img decoding=\"async\" src=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/10\/ico-2.png\" alt=\"\">\n\t<div><p>The visit will consist of a <b>personal interview<\/b>, during which you will be able to explain your eye problem, symptoms or pathology, which is the reason for the consultation.<\/p>\n<\/div>\n<\/div>\n\n\n<div class=\"bloqueIconoTexto wow fadeIn\">\n\t<img decoding=\"async\" src=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/10\/ico-3.png\" alt=\"\">\n\t<div><p>Case history: Our specialist will review with you <b>your history, illnesses<\/b> and other personal circumstances that may influence your eye problem.<\/p>\n<\/div>\n<\/div>\n\n\n<div class=\"bloqueIconoTexto wow fadeIn\">\n\t<img decoding=\"async\" src=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/10\/ico-4.png\" alt=\"\">\n\t<div><p><b>Assessment of reports and imaging tests<\/b> available to you: The ophthalmologist will analyse and give you medical guidance on how to interpret these reports and tests, if available. In this case, you should send them in beforehand, when requesting the teleconsultation.<\/p>\n<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-hacce-wrapper col-lg-6\">\n<div class=\"bloqueIconoTexto wow fadeIn\">\n\t<img decoding=\"async\" src=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/10\/ico-5.png\" alt=\"\">\n\t<div><p>Diagnostic approach: Your specialist will offer you <b>diagnostic advice and recommendations<\/b> for the monitoring or treatment of your eye problem.<\/p>\n<\/div>\n<\/div>\n\n\n<div class=\"bloqueIconoTexto wow fadeIn\">\n\t<img decoding=\"async\" src=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/10\/ico-6.png\" alt=\"\">\n\t<div><p><b>A written report of the conclusions and recommendations<\/b> of the teleconsultation, which we will send you within a few days of your teleconsultation.<\/p>\n<\/div>\n<\/div>\n\n\n<div class=\"bloqueIconoTexto wow fadeIn\">\n\t<img decoding=\"async\" src=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/10\/ico-7.png\" alt=\"\">\n\t<div><p><b>Prescription<\/b>: We will send it to you, in case the specialist prescribes any treatment.<\/p>\n<\/div>\n<\/div>\n\n\n<div class=\"bloqueIconoTexto wow fadeIn\">\n\t<img decoding=\"async\" src=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/10\/ico-8.png\" alt=\"\">\n\t<div><p><b>Invoice<\/b>: You will receive an invoice for the teleconsultation, the amount of which will be deducted from the cost of the face-to-face visit, if you come to the centre within a period of no more than one month.<\/p>\n<\/div>\n<\/div>\n\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-hacce-wrapper bgImagenCenter\" style=\"background-image:url(https:\/\/miranza.es\/wp-content\/uploads\/2020\/10\/teleconsulta-fondo-1.jpg)\">\n<div style=\"height:350px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-hacce-wrapper py-100\"><div class=\"container\">\n<div class=\"wp-block-hacce-wrapper row\">\n<div class=\"wp-block-hacce-wrapper col-lg-12 wow fadeIn\">\n<h6 class=\"wp-block-heading mb-5\"><strong>WHO CAN BENEFIT FROM IT<\/strong><\/h6>\n<\/div>\n\n\n\n<div class=\"wp-block-hacce-wrapper col-lg-6\">\n<div class=\"bloqueIconoTexto wow fadeIn\">\n\t<img decoding=\"async\" src=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/10\/ico-9.png\" alt=\"\">\n\t<div><p><b>Elderly people<\/b> or people with mobility problems.<\/p>\n<\/div>\n<\/div>\n\n\n<div class=\"bloqueIconoTexto wow fadeIn\">\n\t<img decoding=\"async\" src=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/10\/ico-10.png\" alt=\"\">\n\t<div><p>People with <b>little time available<\/b> to travel to the centre and spend time being attended to in person.<\/p>\n<\/div>\n<\/div>\n\n\n<div class=\"bloqueIconoTexto wow fadeIn\">\n\t<img decoding=\"async\" src=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/10\/ico-11.png\" alt=\"\">\n\t<div><p>People who <b>live abroad<\/b> or far from the Miranza centres and wish to benefit from the experience and renown of our professionals.<\/p>\n<\/div>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-hacce-wrapper col-lg-6\">\n<div class=\"bloqueIconoTexto wow fadeIn\">\n\t<img decoding=\"async\" src=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/10\/ico-12.png\" alt=\"\">\n\t<div><p>Patients seeking a <b>second opinion<\/b>.<\/p>\n<\/div>\n<\/div>\n\n\n<div class=\"bloqueIconoTexto wow fadeIn\">\n\t<img decoding=\"async\" src=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/10\/ico-13.png\" alt=\"\">\n\t<div><p>Chronic patients who require regular monitoring and wish to have some of these checks carried out remotely, thus avoiding travel and enjoying greater comfort.<\/p>\n<\/div>\n<\/div>\n\n\n<div class=\"bloqueIconoTexto wow fadeIn\">\n\t<img decoding=\"async\" src=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/10\/ico-14.png\" alt=\"\">\n\t<div><p>People with <b>non-serious eye discomfort or processes<\/b>, but which interfere with their well-being and quality of life and which can be resolved remotely.<\/p>\n<\/div>\n<\/div>\n\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div id=\"\" class=\"wp-block-hacce-wrapper py-70 d-md-none bgImagenCenter\" style=\"background-image:url(https:\/\/miranza.es\/wp-content\/uploads\/2020\/10\/solicitar-teleconsulta-mobile.jpg)\">\n<p><\/p>\n<\/div>\n\n\n\n<div id=\"teleconsultaSolicitar\" class=\"wp-block-hacce-wrapper py-70\" style=\"background-image:url(https:\/\/miranza.es\/wp-content\/uploads\/2020\/10\/solicitar-teleconsulta-1-1.jpg)\"><div class=\"container\">\n<div class=\"wp-block-hacce-wrapper row\">\n<div class=\"wp-block-hacce-wrapper col-md-6 col-lg-5 wow fadeIn\">\n<h6 class=\"wp-block-heading mb-4 mt-3\"><strong>HOW TO REQUEST A TELECONSULTATION<\/strong><\/h6>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/miranza.es\/en\/teleconsultation\/#bloqueTeleconsulta\" class=\"smoothScroll azulClaro\">By filling in the web form<\/a> or by making a <a href=\"https:\/\/miranza.es\/en\/our-clinics\/\" class=\"azulClaro\">phone call<\/a> to schedule a teleconsultation; you may choose from a wide range of specialists.<\/li>\n\n\n\n<li>In both cases, the teleconsultation will be paid for at the time of submitting the request by credit card or wire transfer.<\/li>\n\n\n\n<li>By providing recent reports and imaging tests, if available. You can do so electronically through the teleconsultation request form (you will have to attach colour, high-quality PDF files to be able to assess them correctly) or by sending them to the centre by courier or post.<\/li>\n\n\n\n<li>Express authorisation of the teleconsultation by means of an informed consent and privacy policy that you will have to accept at the time of requesting the teleconsultation.<\/li>\n\n\n\n<li>Photocopy of National ID, Foreigners\u2019 ID or passport.<\/li>\n\n\n\n<li>In the case of patients under 18, they must be accompanied by an adult, who must provide a document that accredits them as the minor&#8217;s legal guardian.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div id=\"\" class=\"wp-block-hacce-wrapper py-70 d-md-none bgImagenCenter\" style=\"background-image:url(https:\/\/miranza.es\/wp-content\/uploads\/2020\/10\/acceder-teleconsulta-mobile.jpg)\">\n<p><\/p>\n<\/div>\n\n\n\n<div id=\"teleconsultaAcceder\" class=\"wp-block-hacce-wrapper py-70\" style=\"background-image:url(https:\/\/miranza.es\/wp-content\/uploads\/2021\/05\/acceder-teleconsulta-blanco.jpeg)\"><div class=\"container\">\n<div class=\"wp-block-hacce-wrapper row\">\n<div class=\"wp-block-hacce-wrapper col-md-6 offset-md-6 col-lg-5 offset-lg-7 wow fadeIn\">\n<h6 class=\"wp-block-heading mb-4 mt-3\"><strong>HOW TO GET ACCESS TO THE TELECONSULTATION<\/strong><\/h6>\n\n\n\n<p>Once you have requested and scheduled your teleconsultation, we will contact you on the agreed day and time via the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Videoconference through your computer or mobile device (video consultation). Previously, you will have received a link to access it.<\/li>\n\n\n\n<li>Phone call (voice only or using a video call option), if you prefer.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-background\" style=\"background-color:#ddece5\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-hacce-wrapper\"><div class=\"container\">\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center h1 mb-4 verde\">Where we are? <br>In 30 clinics and up<\/h3>\n\n\n\n<p class=\"has-text-align-center\">Barcelona, Madrid, Alicante, Tenerife, Seville\u2026<\/p>\n\n\n<div class=\"wp-block-image wow fadeInDown\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"236\" height=\"236\" src=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/09\/image-1.png\" alt=\"\" class=\"wp-image-4050\" srcset=\"https:\/\/miranza.es\/wp-content\/uploads\/2020\/09\/image-1.png 236w, https:\/\/miranza.es\/wp-content\/uploads\/2020\/09\/image-1-150x150.png 150w\" sizes=\"auto, (max-width: 236px) 100vw, 236px\" \/><\/figure><\/div>\n\n\n<p class=\"has-text-align-center\"><a class=\"btn-transparente\" href=\"\/en\/our-clinics\">Consult our centres of ophthalmological excellence.<\/a><\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div><\/div>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":94,"comment_status":"closed","ping_status":"closed","template":"templates\/template-cabecera-imagen.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-2231","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Teleconsultation. 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