{"id":492,"date":"2026-05-08T01:24:47","date_gmt":"2026-05-08T01:24:47","guid":{"rendered":"https:\/\/elaraglobalfertility.com\/?page_id=492"},"modified":"2026-05-27T04:39:12","modified_gmt":"2026-05-27T04:39:12","slug":"formulario-de-gestantes","status":"publish","type":"page","link":"https:\/\/elaraglobalfertility.com\/en\/formulario-de-gestantes\/","title":{"rendered":"Formulario de gestantes"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"492\" class=\"elementor elementor-492\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4c9e677 e-flex e-con-boxed e-con e-parent\" data-id=\"4c9e677\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a0a6bb2 elementor-widget elementor-widget-html\" data-id=\"a0a6bb2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<section class=\"elara-form-banner\">\n  <div class=\"elara-form-banner-bg\"><\/div>\n\n  <div class=\"elara-form-banner-content\">\n    <p>Aplicaci\u00f3n para gestantes<\/p>\n\n    <h1>\n      Inicia tu registro como<br>\n      <span>madre gestante<\/span>\n    <\/h1>\n\n    <p class=\"elara-form-banner-text\">\n      Completa este formulario inicial para que el equipo de Elara Global Fertility pueda revisar tu perfil y orientarte sobre los siguientes pasos del proceso.\n    <\/p>\n  <\/div>\n<\/section>\n\n<div class=\"elara-form-intro-card\">\n  <p class=\"elara-form-mini-label\">Formulario de evaluaci\u00f3n inicial<\/p>\n\n  <h2>Llena tu solicitud para iniciar el proceso<\/h2>\n\n  <p>\n    La informaci\u00f3n que compartas nos ayudar\u00e1 a conocer tu perfil y determinar si cumples con los requisitos b\u00e1sicos para avanzar a una evaluaci\u00f3n m\u00e1s profunda.\n  <\/p>\n\n  <div class=\"elara-form-disclaimer\">\n    <strong>Importante:<\/strong>\n    Este registro es \u00fanicamente para personas que residen en M\u00e9xico. Al enviar el formulario, confirmas que la informaci\u00f3n proporcionada es real y aceptas ser contactada por Elara Global Fertility para recibir orientaci\u00f3n sobre el proceso.\n  <\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-58ccfb1 elara-gestante-form elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"58ccfb1\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Gestantes\" aria-label=\"Gestantes\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"492\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"58ccfb1\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Formulario de gestantes\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"492\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-pais_de_residencia elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-pais_de_residencia\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPa\u00eds de residencia\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[pais_de_residencia]\" id=\"form-field-pais_de_residencia\" class=\"elementor-field-textual elementor-size-md\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"M\u00e9xico\">M\u00e9xico<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Otro \/ Other\">Otro \/ Other<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"Name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"Email\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_e182981 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e182981\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tN\u00famero de celular\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_e182981]\" id=\"form-field-field_e182981\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"N\u00famero de Whatsapp\" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_5c986ca elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5c986ca\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHaz tenido alg\u00fan embarazo\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_5c986ca]\" id=\"form-field-field_5c986ca\" class=\"elementor-field-textual elementor-size-md\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"S\u00ed \/Yes\">S\u00ed \/Yes<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_8887086 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8887086\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t    \u00bfCu\u00e1l es tu estado de salud general?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_8887086]\" id=\"form-field-field_8887086\" class=\"elementor-field-textual elementor-size-md\">\n\t\t\t\t\t\t\t\t\t<option value=\"Bueno \/ Good\">Bueno \/ Good<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Regular \/ Average\">Regular \/ Average<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Prefiero comentarlo \/ I\u2019d rather discuss it\">Prefiero comentarlo \/ I\u2019d rather discuss it<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_044eb79 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_044eb79\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t    \u00bfConsumes tabaco, drogas o sustancias?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_044eb79]\" id=\"form-field-field_044eb79\" class=\"elementor-field-textual elementor-size-md\">\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"S\u00ed \/ Yes\">S\u00ed \/ Yes<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_1b79449 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1b79449\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t    \u00bfTienes disponibilidad para evaluaciones m\u00e9dicas?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_1b79449]\" id=\"form-field-field_1b79449\" class=\"elementor-field-textual elementor-size-md\">\n\t\t\t\t\t\t\t\t\t<option value=\"S\u00ed \/ Yes\">S\u00ed \/ Yes<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No estoy segura \/ Not Sure\">No estoy segura \/ Not Sure<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6575c70 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6575c70\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t    Cu\u00e9ntanos brevemente por qu\u00e9 te interesa participar\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_6575c70]\" id=\"form-field-field_6575c70\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Enviar<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-978a5bc e-flex e-con-boxed e-con e-parent\" data-id=\"978a5bc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0899ec7 elementor-widget elementor-widget-html\" data-id=\"0899ec7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<script>\ndocument.addEventListener(\"DOMContentLoaded\", function () {\n  const paisField = document.querySelector('#form-field-pais_de_residencia');\n  const form = 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grayscale(0.4);\n}\n<\/style>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Aplicaci\u00f3n para gestantes Inicia tu registro como madre gestante Completa este formulario inicial para que el equipo de Elara Global Fertility pueda revisar tu perfil y orientarte sobre los siguientes pasos del proceso. Formulario de evaluaci\u00f3n inicial Llena tu solicitud para iniciar el proceso La informaci\u00f3n que compartas nos ayudar\u00e1 a conocer tu perfil y [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-492","page","type-page","status-publish","hentry"],"_hostinger_reach_plugin_has_subscription_block":false,"_hostinger_reach_plugin_is_elementor":false,"_links":{"self":[{"href":"https:\/\/elaraglobalfertility.com\/en\/wp-json\/wp\/v2\/pages\/492","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/elaraglobalfertility.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/elaraglobalfertility.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/elaraglobalfertility.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/elaraglobalfertility.com\/en\/wp-json\/wp\/v2\/comments?post=492"}],"version-history":[{"count":16,"href":"https:\/\/elaraglobalfertility.com\/en\/wp-json\/wp\/v2\/pages\/492\/revisions"}],"predecessor-version":[{"id":840,"href":"https:\/\/elaraglobalfertility.com\/en\/wp-json\/wp\/v2\/pages\/492\/revisions\/840"}],"wp:attachment":[{"href":"https:\/\/elaraglobalfertility.com\/en\/wp-json\/wp\/v2\/media?parent=492"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}