{"id":25248,"date":"2020-10-31T20:01:04","date_gmt":"2020-11-01T02:01:04","guid":{"rendered":"https:\/\/healthcenter1.com\/formularios-para-pacientes\/"},"modified":"2026-03-02T09:59:14","modified_gmt":"2026-03-02T16:59:14","slug":"formularios-para-pacientes","status":"publish","type":"page","link":"https:\/\/healthcenter1.com\/es\/formularios-para-pacientes\/","title":{"rendered":"Formularios para pacientes"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"25248\" class=\"elementor elementor-25248 elementor-23997\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9c80843 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9c80843\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\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-top-column elementor-element elementor-element-efd5e68\" data-id=\"efd5e68\" 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-823a797 elementor-widget elementor-widget-template\" data-id=\"823a797\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"template.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-template\">\n\t\t\t\t\t<div data-elementor-type=\"section\" data-elementor-id=\"25121\" class=\"elementor elementor-25121 elementor-23722 elementor-23722\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-14113376 elementor-section-height-min-height elementor-section-content-middle elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"14113376\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;stretch_section&quot;:&quot;section-stretched&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-33 elementor-top-column elementor-element elementor-element-52fdee90 elementor-hidden-phone\" data-id=\"52fdee90\" 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\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-4cfc3bbd\" data-id=\"4cfc3bbd\" 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-76bc2a24 elementor-widget elementor-widget-text-editor\" data-id=\"76bc2a24\" 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><strong>HORARIO DE OFICINA <\/strong> De lunes a jueves: de 8:00 a 17:00 <span class=\"bullet\">&#8211;<\/span> Viernes: de 8:00 a 15:00<br><strong>CITA PREVIA: <\/strong>303-615-9999<br><strong>APOYO EN CASO DE CRISIS Y ASISTENCIA A LAS V\u00cdCTIMAS FUERA DEL HORARIO LABORAL:<\/strong> 303-615-9911<\/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<\/div>\n\t\t\t\t<\/div>\n\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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bfbe9c8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bfbe9c8\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wide\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-7b0f588 elementor-hidden-phone\" data-id=\"7b0f588\" 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-0226bb8 elementor-widget elementor-widget-image\" data-id=\"0226bb8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"670\" height=\"670\" src=\"https:\/\/healthcenter1.com\/wp-content\/uploads\/2020\/09\/HCA_Circle_HealthRecords.jpg\" class=\"attachment-medium_large size-medium_large wp-image-24904\" alt=\"A close-up of a person holding a pen and filling out a medical or consent form on a clipboard, with a healthcare professional sitting beside them, providing assistance.\" srcset=\"https:\/\/healthcenter1.com\/wp-content\/uploads\/2020\/09\/HCA_Circle_HealthRecords.jpg 670w, https:\/\/healthcenter1.com\/wp-content\/uploads\/2020\/09\/HCA_Circle_HealthRecords-300x300.jpg 300w, https:\/\/healthcenter1.com\/wp-content\/uploads\/2020\/09\/HCA_Circle_HealthRecords-150x150.jpg 150w, https:\/\/healthcenter1.com\/wp-content\/uploads\/2020\/09\/HCA_Circle_HealthRecords-81x81.jpg 81w, https:\/\/healthcenter1.com\/wp-content\/uploads\/2020\/09\/HCA_Circle_HealthRecords-600x600.jpg 600w, https:\/\/healthcenter1.com\/wp-content\/uploads\/2020\/09\/HCA_Circle_HealthRecords-100x100.jpg 100w\" sizes=\"(max-width: 670px) 100vw, 670px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dc7f6c5 elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"dc7f6c5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/healthcenter1.com\/es\/servicios-medicos\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">SERVICIOS M\u00c9DICOS<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-28c2fc5 elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"28c2fc5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/healthcenter1.com\/es\/servicios-de-salud-mental\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">SERVICIOS DE SALUD MENTAL<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7b8c74c elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"7b8c74c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/healthcenter1.com\/es\/nuestro-personal\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">NUESTRO PERSONAL<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7b344f4 elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"7b344f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/healthcenter1.com\/es\/contacto\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">CONTACTAR CON NOSOTROS<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e805f01 elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"e805f01\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/healthcenter1.com\/es\/preguntas-frecuentes\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Preguntas frecuentes<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\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<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-bc6b3cf\" data-id=\"bc6b3cf\" 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-b3f9a4c elementor-widget elementor-widget-heading\" data-id=\"b3f9a4c\" 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<h3 class=\"elementor-heading-title elementor-size-default\">Formularios para pacientes<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dd52277 textEditor elementor-widget elementor-widget-text-editor\" data-id=\"dd52277\" 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><span class=\"TextRun SCXW244114954 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW244114954 BCX0\" data-ccp-parastyle=\"Normal (Web)\">A <\/span><span class=\"NormalTextRun SCXW244114954 BCX0\" data-ccp-parastyle=\"Normal (Web)\">agilizar<\/span><span class=\"NormalTextRun SCXW244114954 BCX0\" data-ccp-parastyle=\"Normal (Web)\"> el proceso de registro para tu cita m\u00e9dica o de salud mental, completa el <\/span><span class=\"NormalTextRun SCXW244114954 BCX0\" data-ccp-parastyle=\"Normal (Web)\">paciente correspondiente<\/span><span class=\"NormalTextRun SCXW244114954 BCX0\" data-ccp-parastyle=\"Normal (Web)\">  formularios antes de tu cita en el Centro de Salud de Auraria. En   <\/span><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW244114954 BCX0\" data-ccp-parastyle=\"Normal (Web)\">Salud<\/span><span class=\"NormalTextRun SCXW244114954 BCX0\" data-ccp-parastyle=\"Normal (Web)\"> El personal del Centro de Salud <\/span><span class=\"NormalTextRun SCXW244114954 BCX0\" data-ccp-parastyle=\"Normal (Web)\">te informar\u00e1<\/span><span class=\"NormalTextRun SCXW244114954 BCX0\" data-ccp-parastyle=\"Normal (Web)\"> qu\u00e9 formularios debes rellenar cuando programes tu cita. <\/span><span class=\"NormalTextRun SCXW244114954 BCX0\" data-ccp-parastyle=\"Normal (Web)\">Puede haber formularios adicionales que se rellenar\u00e1n mientras seas paciente del Centro de Salud de Auraria y se completar\u00e1n <\/span><span class=\"NormalTextRun SCXW244114954 BCX0\" data-ccp-parastyle=\"Normal (Web)\">m\u00e1s adelante<\/span><span class=\"NormalTextRun SCXW244114954 BCX0\" data-ccp-parastyle=\"Normal (Web)\">.<\/span><span class=\"NormalTextRun SCXW244114954 BCX0\" data-ccp-parastyle=\"Normal (Web)\"><\/span><\/span><span class=\"EOP SCXW244114954 BCX0\" data-ccp-props=\"{\"134233117\":true,\"134233118\":true,\"201341983\":0,\"335559740\":240}\"> <\/span><\/p><p><span class=\"TextRun SCXW186652818 BCX0\" lang=\"EN-US\" data-contrast=\"auto\" xml:lang=\"EN-US\"><span class=\"NormalTextRun SCXW186652818 BCX0\" data-ccp-charstyle=\"Strong\"><strong>Descarga segura de archivos<\/strong><\/span><\/span><span class=\"LineBreakBlob BlobObject DragDrop SCXW186652818 BCX0\"><span class=\"SCXW186652818 BCX0\"> <\/span><br class=\"SCXW186652818 BCX0\"><\/span><span class=\"TextRun SCXW186652818 BCX0\" lang=\"EN-US\" data-contrast=\"auto\" xml:lang=\"EN-US\"><span class=\"NormalTextRun SCXW186652818 BCX0\" data-ccp-parastyle=\"Normal (Web)\">Util\u00edzalo seg\u00fan las indicaciones del personal del Centro de Salud de Auraria. <\/span><\/span><span class=\"LineBreakBlob BlobObject DragDrop SCXW186652818 BCX0\"><br class=\"SCXW186652818 BCX0\"><\/span><a class=\"Hyperlink SCXW186652818 BCX0\" href=\"https:\/\/secureshare.msudenver.edu\/filedrop\/HCASecureFileDrop\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"TextRun Underlined SCXW186652818 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW186652818 BCX0\" data-ccp-charstyle=\"Hyperlink\">Descarga segura de archivos<\/span><\/span><\/a><span class=\"EOP SCXW186652818 BCX0\" data-ccp-props=\"{\"134233117\":true,\"134233118\":true,\"201341983\":0,\"335559740\":240}\"> <\/span><\/p><p><b><span data-contrast=\"auto\">Paquete para pacientes nuevos<\/span><\/b> <br><span data-contrast=\"auto\">Rellena este paquete si es tu primera cita en el Centro de Salud de Auraria.<\/span> <br><a href=\"https:\/\/healthcenter1.com\/es\/paquete-para-nuevos-pacientes\/\"><span data-contrast=\"none\">Paquete para pacientes nuevos<\/span><\/a><span data-ccp-props=\"{\"134233117\":true,\"134233118\":true,\"201341983\":0,\"335559740\":240}\"> <\/span><\/p><p><b><span data-contrast=\"auto\">Formulario de divulgaci\u00f3n de historiales m\u00e9dicos<\/span><\/b> <br><span data-contrast=\"auto\">Rellene este formulario si desea solicitar registros para usted o para otro centro. El Centro de Salud de Auraria se rige por la Ley de Portabilidad y Responsabilidad del Seguro M\u00e9dico de 1996 (HIPAA). Todos los expedientes son confidenciales y no pueden ser entregados a nadie sin la autorizaci\u00f3n escrita del paciente, excepto cuando el expediente es citado por orden judicial o requerido por la ley de salud p\u00fablica.<\/span> <br><a href=\"https:\/\/healthcenter1.com\/es\/autorizacion-para-divulgar-informacion-medica-protegida\/\"><span data-contrast=\"none\">Autorizaci\u00f3n para el uso de la divulgaci\u00f3n de informaci\u00f3n m\u00e9dica protegida<\/span><\/a><span data-ccp-props=\"{\"134233117\":true,\"134233118\":true,\"201341983\":0,\"335559740\":240}\"> <\/span><\/p><p><b><span data-contrast=\"auto\">Consentimiento del observador<\/span><\/b> <br><span data-contrast=\"auto\">Rellena este formulario s\u00f3lo si lo solicita un proveedor o personal del Centro de Salud de Auraria.<\/span> <br><a href=\"https:\/\/healthcenter1.com\/es\/consentimiento-del-observador\/\"><span data-contrast=\"none\">Consentimiento del paciente para la presencia de un estudiante observador<\/span><\/a><span data-ccp-props=\"{\"134233117\":true,\"134233118\":true,\"201341983\":0,\"335559740\":240}\"> <\/span><\/p><p><b><span data-contrast=\"auto\">Tratamiento de telesalud<\/span><\/b> <br><span data-contrast=\"auto\">Rellena este formulario si solicitas una cita de Telesalud.<\/span> <br><a href=\"https:\/\/healthcenter1.com\/es\/tratamiento-de-telesalud\/\"><span data-contrast=\"none\">Consentimiento para tratamiento de telesalud<\/span><\/a><span data-ccp-props=\"{\"134233117\":true,\"134233118\":true,\"201341983\":0,\"335559740\":240}\"> <\/span><\/p><div><h4>Formularios de salud mental<\/h4><p>*<span data-teams=\"true\">Ten en cuenta que los formularios pueden no ser revisados completamente por un cl\u00ednico hasta el momento de tu cita. Si necesitas ayuda inmediata en materia de salud mental, puedes ponerte en contacto con el Centro de Salud de Auraria durante el horario laboral o con la l\u00ednea Auraria 24\/7 Mental Health Crisis &amp; Victim Assistance en el 303-615-9911 para obtener ayuda fuera del horario laboral. <\/span><\/p><p><b><span data-contrast=\"auto\">Paquete para pacientes con TDAH<\/span><\/b> <br><span data-contrast=\"auto\">Rellena este formulario si tienes programada una consulta de TDA\/TDAH en el Centro de Salud de Auraria.<\/span> <br><a href=\"https:\/\/healthcenter1.com\/es\/paquete-para-pacientes-con-tdah\/\"><span data-contrast=\"none\">Paquete para pacientes con TDAH<\/span><\/a><span data-ccp-props=\"{\"134233117\":true,\"134233118\":true,\"201341983\":0,\"335559740\":240}\"> <\/span><\/p><p><b><span data-contrast=\"auto\">Experiencias Adversas en la Infancia (ACE)<\/span><\/b> <br><span data-contrast=\"auto\">Rellena este formulario si te lo pide tu proveedor psiqui\u00e1trico.<\/span> <br><a href=\"https:\/\/healthcenter1.com\/es\/ace\/\" rel=\"noopener\"><span data-contrast=\"none\">ACE<\/span><\/a><span data-ccp-props=\"{\"134233117\":true,\"134233118\":true,\"201341983\":0,\"335559740\":240}\"> <\/span><\/p><p><b><span data-contrast=\"auto\">ASRS<\/span><\/b> <br><span data-contrast=\"auto\">Rellena este formulario si tienes cita para una entrevista de Salud Mental en el Centro de Salud de Auraria.<\/span> <br><a href=\"https:\/\/healthcenter1.com\/es\/asrs\/\"><span data-contrast=\"none\">ASRS<\/span><\/a><span data-ccp-props=\"{\"134233117\":true,\"134233118\":true,\"201341983\":0,\"335559740\":240}\"> <\/span><\/p><p><b><span data-contrast=\"auto\">DSM-5<\/span><\/b> <br><span data-contrast=\"auto\">Rellena este formulario si tienes programada una entrevista de Salud Mental en el Centro de Salud de Auraria.<\/span> <br><a href=\"https:\/\/healthcenter1.com\/es\/dsm-5\/\" rel=\"noopener\"><span data-contrast=\"none\">DSM-5<\/span><\/a><span data-ccp-props=\"{\"134233117\":true,\"134233118\":true,\"201341983\":0,\"335559740\":240}\"> <\/span><\/p><p><b><span data-contrast=\"auto\">PHQ-9<\/span><\/b> <br><span data-contrast=\"auto\">Rellena este formulario s\u00f3lo si lo solicita un proveedor del Health Center at Auraria.<\/span> <br><a href=\"https:\/\/healthcenter1.com\/es\/phq-9\/\"><span data-contrast=\"none\">PHQ-9<\/span><\/a><span data-ccp-props=\"{\"134233117\":true,\"134233118\":true,\"201341983\":0,\"335559740\":240}\"> <\/span><\/p><p><b><span data-contrast=\"auto\">GAD-7<\/span><\/b> <br><span data-contrast=\"auto\">Rellena este formulario s\u00f3lo si lo solicita un proveedor del Health Center at Auraria.<\/span> <br><a href=\"https:\/\/healthcenter1.com\/es\/gad-7\/\"><span data-contrast=\"none\">GAD-7<\/span><\/a><span data-ccp-props=\"{\"134233117\":true,\"134233118\":true,\"201341983\":0,\"335559740\":240}\"> <\/span><\/p><h4>Formularios m\u00e9dicos<\/h4><\/div><div><p>MSU Denver Athlete <strong>Pre-participation Physical Evaluation History Form<\/strong> <br>Rellena este formulario si eres un atleta de MSU Denver y tienes programada una evaluaci\u00f3n f\u00edsica preparticipaci\u00f3n. <br><a href=\"https:\/\/healthcenter1.com\/es\/formulario-de-evaluacion-fisica-del-atleta-de-msu-denver-antes-de-la-participacion\/\">Formulario de historial de evaluaci\u00f3n f\u00edsica previa a la participaci\u00f3n de un deportista de la MSU Denver<\/a> <\/p><p><strong>Paquete sobre el Insomnio <\/strong><br>Rellena este paquete si has concertado una cita de admisi\u00f3n para el Insomnio. <br><a href=\"https:\/\/healthcenter1.com\/es\/paquete-sobre-el-insomnio\/\">Paquete previo sobre el insomnio<\/a> <\/p><p><strong>Formulario de Admisi\u00f3n al <\/strong> Asesoramiento Nutricional<br>Rellena este paquete si has concertado una cita de Asesoramiento Nutricional. <br><a href=\"https:\/\/healthcenter1.com\/es\/formulario-de-admision-para-el-asesoramiento-nutricional\/\">Formulario de Admisi\u00f3n al Asesoramiento Nutricional<\/a> <\/p><p><strong>Cuestionario para dejar de fumar <\/strong><br>Rellena este formulario si tienes programada una cita de admisi\u00f3n para dejar de fumar. <br><a href=\"https:\/\/healthcenter1.com\/es\/cuestionario-para-dejar-de-fumar\/\">Cuestionario para dejar de fumar<\/a> <\/p><p><strong>Herramienta de evaluaci\u00f3n <\/strong> de conmociones cerebrales <strong>deportivas (SCAT5) <\/strong><br>Este formulario debe cumplimentarse cuando un proveedor te indique una evaluaci\u00f3n de conmociones cerebrales. <br><a href=\"https:\/\/healthcenter1.com\/es\/herramienta-de-evaluacion-de-la-conmocion-cerebral-en-el-deporte-scat-5\/\">Herramienta de evaluaci\u00f3n de conmociones cerebrales deportivas (SCAT5)<\/a> <\/p><p><strong>Acuerdo<\/strong> sobre sustancias controladas <br>Este documento se cumplimentar\u00e1 con tu proveedor del Centro de Salud si te prescribe medicamentos estimulantes u otras sustancias controladas. <br><a href=\"https:\/\/healthcenter1.com\/wp-content\/uploads\/2026\/01\/HCA_ControlledSubstanceAgreementForm_Editable.pdf\">Formulario de acuerdo sobre sustancias controladas<\/a> <\/p><p><strong>Formulario de consentimiento de los padres\/tutores para el tratamiento de un menor <\/strong><br>Este formulario se utiliza para que los padres o tutores lo cumplimenten para que pueda llevarse a cabo la atenci\u00f3n m\u00e9dica o mental de su hijo menor de 18 a\u00f1os. <br><a href=\"https:\/\/healthcenter1.com\/es\/formulario-de-consentimiento-de-los-padres-tutores-para-el-tratamiento-de-un-menor\/\">Formulario de consentimiento de padres\/tutores para el tratamiento de un menor<\/a> <\/p><h4>Petici\u00f3n de cartas  <\/h4><p><strong>Solicitud de Adaptaciones por Cuestiones M\u00e9dicas que Afectan a lo Acad\u00e9mico <\/strong><br>Rellena este formulario si necesitas una carta de tu proveedor para documentar cualquier diagn\u00f3stico y\/o tratamiento m\u00e9dico o de salud mental para adaptaciones, bajas m\u00e9dicas o acad\u00e9micas o Apelaciones SAP. <br><a href=\"https:\/\/healthcenter1.com\/es\/solicitud-de-adaptaciones-o-problemas-medicos-que-afectan-a-los-estudios\/\">Solicitud de carta por problemas m\u00e9dicos que afectan a los estudios<\/a> <\/p><h4>Formulario de cumplimiento de la vacunaci\u00f3n en Auraria<\/h4><p><strong>Formulario de Cumplimiento de Vacunaci\u00f3n del Campus de Auraria <\/strong><br>Rellena este formulario si eres un estudiante nuevo en el CCD, MSU Denver o CU Denver.\nPara m\u00e1s informaci\u00f3n, ve a<a href=\"https:\/\/healthcenter1.com\/es\/requisitos-de-vacunacion\/\">Requisitos de Vacunaci\u00f3n<\/a>.  <\/p><p><a href=\"https:\/\/healthcenter1.com\/es\/formulario-de-cumplimiento-de-la-vacunacion-en-auraria\/\">Formulario de cumplimiento de la vacunaci\u00f3n en Auraria<\/a> <\/p><\/div>\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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-aadfbaf elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-height-default\" data-id=\"aadfbaf\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&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-e185fe8\" data-id=\"e185fe8\" 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-e3eb0b5 elementor-widget elementor-widget-template\" data-id=\"e3eb0b5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"template.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-template\">\n\t\t\t\t\t<div data-elementor-type=\"section\" data-elementor-id=\"26305\" class=\"elementor elementor-26305 elementor-26304 elementor-26304\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-15b4f7 elementor-section-stretched elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"15b4f7\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\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-top-column elementor-element elementor-element-475aed40\" data-id=\"475aed40\" 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-4e27b401 elementor-widget elementor-widget-image\" data-id=\"4e27b401\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"180\" height=\"177\" src=\"https:\/\/healthcenter1.com\/wp-content\/uploads\/2020\/07\/schedule.png\" class=\"attachment-medium size-medium wp-image-24862\" alt=\"\" srcset=\"https:\/\/healthcenter1.com\/wp-content\/uploads\/2020\/07\/schedule.png 180w, https:\/\/healthcenter1.com\/wp-content\/uploads\/2020\/07\/schedule-81x80.png 81w\" sizes=\"(max-width: 180px) 100vw, 180px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7d8f20bb elementor-widget elementor-widget-heading\" data-id=\"7d8f20bb\" 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<h2 class=\"elementor-heading-title elementor-size-default\">Programar una cita<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-36dff0e0 elementor-widget elementor-widget-text-editor\" data-id=\"36dff0e0\" 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\tLlama al 303-615-9999 para concertar una cita con antelaci\u00f3n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f66d33 elementor-widget elementor-widget-text-editor\" data-id=\"9f66d33\" 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>Por favor, tenga en cuenta que hay una tarifa de hasta $50.00 por citas perdidas o cancelaciones con poca antelaci\u00f3n (menos de 24 horas).<\/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<\/div>\n\t\t\t\t<\/div>\n\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<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Para agilizar el proceso de registro para su cita m\u00e9dica o de salud mental, complete los formularios correspondientes del paciente antes de su cita en el Centro de Salud de Auraria. El personal del Centro de Salud le informar\u00e1 de los formularios que debe rellenar cuando programe su cita. Puede haber formularios adicionales que se completar\u00e1n mientras sea paciente del Centro de Salud en Auraria y se completar\u00e1n m\u00e1s adelante.  <\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-25248","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>Formularios para pacientes - Health Center at Auraria<\/title>\n<meta name=\"description\" content=\"Your health matters. The Health Center at Auraria offers innovative care to keep students thriving personally and academically.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/healthcenter1.com\/es\/formularios-para-pacientes\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Formularios para pacientes - Health Center at Auraria\" \/>\n<meta property=\"og:description\" content=\"Your health matters. The Health Center at Auraria offers innovative care to keep students thriving personally and academically.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/healthcenter1.com\/es\/formularios-para-pacientes\/\" \/>\n<meta property=\"og:site_name\" content=\"Health Center at Auraria\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/HealthCenteratAuraria\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-02T16:59:14+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/healthcenter1.com\/wp-content\/uploads\/2020\/09\/HCA_Circle_HealthRecords.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"670\" \/>\n\t<meta property=\"og:image:height\" content=\"670\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/healthcenter1.com\\\/es\\\/formularios-para-pacientes\\\/\",\"url\":\"https:\\\/\\\/healthcenter1.com\\\/es\\\/formularios-para-pacientes\\\/\",\"name\":\"Formularios para pacientes - Health Center at Auraria\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/healthcenter1.com\\\/es\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/healthcenter1.com\\\/es\\\/formularios-para-pacientes\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/healthcenter1.com\\\/es\\\/formularios-para-pacientes\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/healthcenter1.com\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/HCA_Circle_HealthRecords.jpg\",\"datePublished\":\"2020-11-01T02:01:04+00:00\",\"dateModified\":\"2026-03-02T16:59:14+00:00\",\"description\":\"Your health matters. The Health Center at Auraria offers innovative care to keep students thriving personally and academically.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/healthcenter1.com\\\/es\\\/formularios-para-pacientes\\\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/healthcenter1.com\\\/es\\\/formularios-para-pacientes\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/healthcenter1.com\\\/es\\\/formularios-para-pacientes\\\/#primaryimage\",\"url\":\"https:\\\/\\\/healthcenter1.com\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/HCA_Circle_HealthRecords.jpg\",\"contentUrl\":\"https:\\\/\\\/healthcenter1.com\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/HCA_Circle_HealthRecords.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/healthcenter1.com\\\/es\\\/formularios-para-pacientes\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/healthcenter1.com\\\/es\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Formularios para pacientes\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/healthcenter1.com\\\/es\\\/#website\",\"url\":\"https:\\\/\\\/healthcenter1.com\\\/es\\\/\",\"name\":\"Health Center at Auraria\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/healthcenter1.com\\\/es\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/healthcenter1.com\\\/es\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/healthcenter1.com\\\/es\\\/#organization\",\"name\":\"Health Center at Auraria\",\"url\":\"https:\\\/\\\/healthcenter1.com\\\/es\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/healthcenter1.com\\\/es\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/healthcenter1.com\\\/wp-content\\\/uploads\\\/2024\\\/12\\\/hca-favicon.png\",\"contentUrl\":\"https:\\\/\\\/healthcenter1.com\\\/wp-content\\\/uploads\\\/2024\\\/12\\\/hca-favicon.png\",\"width\":200,\"height\":199,\"caption\":\"Health Center at Auraria\"},\"image\":{\"@id\":\"https:\\\/\\\/healthcenter1.com\\\/es\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/HealthCenteratAuraria\",\"https:\\\/\\\/www.instagram.com\\\/hcauraria\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Formularios para pacientes - Health Center at Auraria","description":"Your health matters. The Health Center at Auraria offers innovative care to keep students thriving personally and academically.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/healthcenter1.com\/es\/formularios-para-pacientes\/","og_locale":"es_ES","og_type":"article","og_title":"Formularios para pacientes - Health Center at Auraria","og_description":"Your health matters. The Health Center at Auraria offers innovative care to keep students thriving personally and academically.","og_url":"https:\/\/healthcenter1.com\/es\/formularios-para-pacientes\/","og_site_name":"Health Center at Auraria","article_publisher":"https:\/\/www.facebook.com\/HealthCenteratAuraria","article_modified_time":"2026-03-02T16:59:14+00:00","og_image":[{"width":670,"height":670,"url":"https:\/\/healthcenter1.com\/wp-content\/uploads\/2020\/09\/HCA_Circle_HealthRecords.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_misc":{"Tiempo de lectura":"5 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/healthcenter1.com\/es\/formularios-para-pacientes\/","url":"https:\/\/healthcenter1.com\/es\/formularios-para-pacientes\/","name":"Formularios para pacientes - Health Center at Auraria","isPartOf":{"@id":"https:\/\/healthcenter1.com\/es\/#website"},"primaryImageOfPage":{"@id":"https:\/\/healthcenter1.com\/es\/formularios-para-pacientes\/#primaryimage"},"image":{"@id":"https:\/\/healthcenter1.com\/es\/formularios-para-pacientes\/#primaryimage"},"thumbnailUrl":"https:\/\/healthcenter1.com\/wp-content\/uploads\/2020\/09\/HCA_Circle_HealthRecords.jpg","datePublished":"2020-11-01T02:01:04+00:00","dateModified":"2026-03-02T16:59:14+00:00","description":"Your health matters. The Health Center at Auraria offers innovative care to keep students thriving personally and academically.","breadcrumb":{"@id":"https:\/\/healthcenter1.com\/es\/formularios-para-pacientes\/#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/healthcenter1.com\/es\/formularios-para-pacientes\/"]}]},{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/healthcenter1.com\/es\/formularios-para-pacientes\/#primaryimage","url":"https:\/\/healthcenter1.com\/wp-content\/uploads\/2020\/09\/HCA_Circle_HealthRecords.jpg","contentUrl":"https:\/\/healthcenter1.com\/wp-content\/uploads\/2020\/09\/HCA_Circle_HealthRecords.jpg"},{"@type":"BreadcrumbList","@id":"https:\/\/healthcenter1.com\/es\/formularios-para-pacientes\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/healthcenter1.com\/es\/"},{"@type":"ListItem","position":2,"name":"Formularios para pacientes"}]},{"@type":"WebSite","@id":"https:\/\/healthcenter1.com\/es\/#website","url":"https:\/\/healthcenter1.com\/es\/","name":"Health Center at Auraria","description":"","publisher":{"@id":"https:\/\/healthcenter1.com\/es\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/healthcenter1.com\/es\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"},{"@type":"Organization","@id":"https:\/\/healthcenter1.com\/es\/#organization","name":"Health Center at Auraria","url":"https:\/\/healthcenter1.com\/es\/","logo":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/healthcenter1.com\/es\/#\/schema\/logo\/image\/","url":"https:\/\/healthcenter1.com\/wp-content\/uploads\/2024\/12\/hca-favicon.png","contentUrl":"https:\/\/healthcenter1.com\/wp-content\/uploads\/2024\/12\/hca-favicon.png","width":200,"height":199,"caption":"Health Center at Auraria"},"image":{"@id":"https:\/\/healthcenter1.com\/es\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/HealthCenteratAuraria","https:\/\/www.instagram.com\/hcauraria\/"]}]}},"_links":{"self":[{"href":"https:\/\/healthcenter1.com\/es\/wp-json\/wp\/v2\/pages\/25248","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthcenter1.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/healthcenter1.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/healthcenter1.com\/es\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/healthcenter1.com\/es\/wp-json\/wp\/v2\/comments?post=25248"}],"version-history":[{"count":0,"href":"https:\/\/healthcenter1.com\/es\/wp-json\/wp\/v2\/pages\/25248\/revisions"}],"wp:attachment":[{"href":"https:\/\/healthcenter1.com\/es\/wp-json\/wp\/v2\/media?parent=25248"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}