{"id":3611,"date":"2025-05-14T08:50:41","date_gmt":"2025-05-14T11:50:41","guid":{"rendered":"https:\/\/comeca.uy\/web\/?page_id=3611"},"modified":"2025-05-14T08:50:42","modified_gmt":"2025-05-14T11:50:42","slug":"formulario-de-pre-afiliacion-a-comeca","status":"publish","type":"page","link":"https:\/\/comeca.uy\/web\/formulario-de-pre-afiliacion-a-comeca\/","title":{"rendered":"FORMULARIO DE PRE AFILIACI\u00d3N A COMECA"},"content":{"rendered":"\n<style id=\"wpforms-css-vars-3605\">\n\t\t\t\t#wpforms-3605 {\n\t\t\t\t\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-3605\"><form id=\"wpforms-form-3605\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"3605\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/web\/wp-json\/wp\/v2\/pages\/3611?wpforms_form_id=3605\" data-token=\"8e9d6ebe1ea6fd9b76f38961d050a2c8\" data-token-time=\"1775775230\"><noscript class=\"wpforms-error-noscript\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-3605-field_11-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"11\"><div id=\"wpforms-3605-field_11\" class=\"wpforms-field-large wpforms-field-row\" aria-errormessage=\"wpforms-3605-field_11-error\"><p><img loading=\"lazy\" decoding=\"async\" height=\"315\" width=\"1200\" alt=\"\" src=\"https:\/\/comeca.uy\/web\/wp-content\/uploads\/2025\/05\/cabeza_formulario_afiliaciones.jpg\" class=\"aligncenter wp-image-3607 size-full\" \/>Completa los datos de este formulario y adjunta una foto, del frente de tu C\u00e9dula de Identidad. en formato JPG o PNG para que un asesor comercial se comunique contigo y establezca los detalles de tu afiliaci\u00f3n a COMECA, la que por reglamentaci\u00f3n del Ministerio de Salud P\u00fablica, se debe realizar de manera presencial.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div>\t\t<div id=\"wpforms-3605-field_3-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"3\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-3605-field_3\" >Correo Celular electr\u00f3nico<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-3605-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-3605-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Nombre <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-3605-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-3605-field_1-error\" required><label for=\"wpforms-3605-field_1\" class=\"wpforms-field-sublabel after\">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-3605-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-3605-field_1-last-error\" required><label for=\"wpforms-3605-field_1-last\" class=\"wpforms-field-sublabel after\">Apellidos<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-3605-field_6-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-3605-field_6\">C\u00e9dula de identidad <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader wpforms-field-required\"\n\t\tdata-field-id=\"6\"\n\t\tdata-form-id=\"3605\"\n\t\tdata-input-name=\"wpforms_3605_6\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages\"\n\t\tdata-max-size=\"104857600\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"104857600\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t<\/div>\n<\/div>\n\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-3605-field_6\"\n\t\tname=\"wpforms_3605_6\" required\t\tvalue=\"\">\n<div id=\"wpforms-3605-field_6-description\" class=\"wpforms-field-description\">Sube 1 archivo compatible: PDF o image. El tama\u00f1o m\u00e1ximo es de 10 MB<\/div><\/div><div id=\"wpforms-3605-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-3605-field_7\">Afiliaci\u00f3n Mutual Actual <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3605-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-3605-field_7-error\" required><\/div><div id=\"wpforms-3605-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-3605-field_2\">Correo electr\u00f3nico <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-3605-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-3605-field_2-error\" required><\/div><div id=\"wpforms-3605-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-3605-field_8\">Celular de Contacto <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3605-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-3605-field_8-error\" required><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-3605-field_3-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-3605-field_3-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-3605-field_3-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"3605\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/comeca.uy\/web\/wp-json\/wp\/v2\/pages\/3611\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-3605\" class=\"wpforms-submit\" data-alt-text=\"Enviando...\" data-submit-text=\"Enviar\" aria-live=\"assertive\" value=\"wpforms-submit\">Enviar<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/comeca.uy\/web\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Cargando\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3611","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/comeca.uy\/web\/wp-json\/wp\/v2\/pages\/3611","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/comeca.uy\/web\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/comeca.uy\/web\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/comeca.uy\/web\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/comeca.uy\/web\/wp-json\/wp\/v2\/comments?post=3611"}],"version-history":[{"count":1,"href":"https:\/\/comeca.uy\/web\/wp-json\/wp\/v2\/pages\/3611\/revisions"}],"predecessor-version":[{"id":3612,"href":"https:\/\/comeca.uy\/web\/wp-json\/wp\/v2\/pages\/3611\/revisions\/3612"}],"wp:attachment":[{"href":"https:\/\/comeca.uy\/web\/wp-json\/wp\/v2\/media?parent=3611"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}