{"id":15618,"date":"2025-02-28T03:31:59","date_gmt":"2025-02-28T08:31:59","guid":{"rendered":"https:\/\/manhattancardiology.com\/?page_id=15618"},"modified":"2026-07-27T00:49:31","modified_gmt":"2026-07-27T04:49:31","slug":"appointment-request-form","status":"publish","type":"page","link":"https:\/\/manhattancardiology.com\/es\/appointment-request-form\/","title":{"rendered":"Formulario de solicitud de cita"},"content":{"rendered":"<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\" style=\"flex-basis:100%\">\n  <div id=\"appointment-form\">\n        <form id=\"new_appt_post\" name=\"new_appt_post\" method=\"post\" action=\"\" class=\"ui form\" data-trp-original-action=\"\">\n\n      \n      \n        <h2 class=\"ui dividing header\" id=\"location-header\">\n          Seleccione la ubicaci\u00f3n preferida        <\/h2>\n\n        <div class=\"two fields\" id=\"select-location-dropdown\">\n          <div class=\"field\">\n            <div class=\"appt_location_dropdown\">\n                            <select name=\"appt_location_cat\" id=\"appt_location_cat\" class=\"ui search dropdown selection\"><option value=\"\">Select Preferred Location<\/option><option value=\"617\">Columbus Circle - 330 West 58th Street<\/option><option value=\"44\">Midtown East - 211 East 51st Street<\/option><option value=\"45\">UES - 171 E 65th Street<\/option><option value=\"262\">UES - 201 East 65th Street<\/option><option value=\"43\">UWS - 112 West 72nd Street<\/option><option value=\"643\">Murray Hill - 220 Madison Ave<\/option><option value=\"653\">Union Square - 254 Park Avenue (Pr\u00f3ximamente)<\/option><\/select>            <\/div>\n          <\/div>\n          <div class=\"field\"><\/div>\n        <\/div><!-- end form-line -->\n\n        \n<div class=\"ajax-call-fields ui disabled container\">\n  <div class=\"ui inverted dimmer\"><!-- Remove active CSS class while loading AJAX data (ui active inverted dimmer) -->\n    <div class=\"ui text loader\">Cargando m\u00e9dicos disponibles y fechas de citas<\/div>\n  <\/div>\n\n  <div class=\"ui hidden divider\"><\/div>\n  <h2 class=\"ui dividing header\" id=\"select-reason-header\">\n    Por favor seleccione el motivo de la visita  <\/h2>\n\n  <div class=\"inline fields\" id=\"select-reason-patienttype\">\n    <div class=\"disabled field\">\n      <div class=\"ui radio patient-type new checkbox checked\">\n        <input type=\"radio\" name=\"appt_patienttype\" id=\"appt_patienttype_np\" class=\"appt_patienttype\" value=\"New Patient\" checked=\"checked\">\n        <label for=\"appt_patienttype_np\">Nuevo Paciente<\/label>\n      <\/div>\n\n      <div class=\"ui radio patient-type established checkbox\">\n        <input type=\"radio\" name=\"appt_patienttype\" id=\"appt_patienttype_ep\" class=\"appt_patienttype\" value=\"Established Patient\">\n        <label for=\"appt_patienttype_ep\">Paciente establecido<\/label>\n      <\/div>\n    <\/div>\n  <\/div><!-- end inline field -->\n\n  <div class=\"two fields\" id=\"select-reason-dropdown\">\n    <div class=\"disabled field\">\n      <div class=\"appt_patienttype_np_dropdown\">\n        <select name=\"appt_reasons_new_cat\" id=\"appt_reasons_new_cat\" class=\"ui search dropdown selection\"><option value=\"\">Reason For Your Visit<\/option><option value=\"211\">Puntuaci\u00f3n de calcio coronario<\/option><option value=\"169\">Visita card\u00edaca anual<\/option><option value=\"267\">Electrocardiograma anormal<\/option><option value=\"207\">Palpitaciones<\/option><option value=\"203\">Dolor en el pecho<\/option><option value=\"268\">Falta de aire<\/option><option value=\"269\">Remisi\u00f3n m\u00e9dica<\/option><option value=\"174\">Detecci\u00f3n de aneurisma a\u00f3rtico<\/option><option value=\"212\">Arritmia<\/option><option value=\"176\">S\u00edndrome de coraz\u00f3n roto<\/option><option value=\"206\">Co\u00e1gulo<\/option><option value=\"179\">Diabetes<\/option><option value=\"208\">Consulta de prueba de esfuerzo<\/option><option value=\"171\">Ecocardiograma<\/option><option value=\"180\">Antecedentes familiares de cardiopat\u00eda<\/option><option value=\"204\">Ritmo card\u00edaco r\u00e1pido<\/option><option value=\"209\">Presi\u00f3n arterial alta<\/option><option value=\"215\">Seguimiento de resultados de laboratorio \/ pruebas<\/option><option value=\"181\">Ecograf\u00eda de pierna<\/option><option value=\"210\">Presi\u00f3n arterial baja<\/option><option value=\"182\">Renovaci\u00f3n de receta<\/option><option value=\"183\">Otro<\/option><option value=\"213\">Enfermedad Arterial Perif\u00e9rica (EAP)<\/option><option value=\"214\">S\u00edndrome de Taquicardia Ortost\u00e1tica Postural (POTS)<\/option><option value=\"186\">Autorizaci\u00f3n preoperatoria<\/option><option value=\"187\">Disfunci\u00f3n sexual<\/option><option value=\"555\">Ara\u00f1as vasculares \/ Varices<\/option><option value=\"216\">Apnea del sue\u00f1o (Estudio del sue\u00f1o)<\/option><option value=\"205\">Frecuencia card\u00edaca baja<\/option><option value=\"188\">Evaluaci\u00f3n de accidentes cerebrovasculares<\/option><option value=\"189\">Prueba de Muerte S\u00fabita<\/option><\/select>      <\/div>\n      <div class=\"appt_patienttype_ep_dropdown\">\n        <select name=\"appt_reasons_established_cat\" id=\"appt_reasons_established_cat\" class=\"ui search dropdown selection\"><option value=\"\">Reason For Your Visit<\/option><option value=\"226\">Puntuaci\u00f3n de calcio coronario<\/option><option value=\"137\">Visita card\u00edaca anual<\/option><option value=\"272\">Electrocardiograma anormal<\/option><option value=\"222\">Palpitaciones<\/option><option value=\"218\">Dolor en el pecho<\/option><option value=\"271\">Falta de aire<\/option><option value=\"270\">Remisi\u00f3n m\u00e9dica<\/option><option value=\"227\">Arritmia<\/option><option value=\"143\">Detecci\u00f3n de aneurisma a\u00f3rtico<\/option><option value=\"145\">S\u00edndrome de coraz\u00f3n roto<\/option><option value=\"221\">Co\u00e1gulo<\/option><option value=\"165\">Colesterol<\/option><option value=\"163\">Prueba de colesterol<\/option><option value=\"148\">Diabetes<\/option><option value=\"140\">Ecocardiograma<\/option><option value=\"223\">Consulta de prueba de esfuerzo<\/option><option value=\"219\">Ritmo card\u00edaco r\u00e1pido<\/option><option value=\"168\">Antecedentes familiares de accidente cerebrovascular<\/option><option value=\"138\">Visita de seguimiento<\/option><option value=\"149\">Antecedentes familiares de cardiopat\u00eda<\/option><option value=\"224\">Presi\u00f3n arterial alta<\/option><option value=\"230\">Seguimiento de resultados de laboratorio \/ pruebas<\/option><option value=\"150\">Ecograf\u00eda de pierna<\/option><option value=\"225\">Presi\u00f3n arterial baja<\/option><option value=\"151\">Renovaci\u00f3n de receta<\/option><option value=\"153\">Otro<\/option><option value=\"166\">Sobrepeso<\/option><option value=\"228\">Enfermedad Arterial Perif\u00e9rica (EAP)<\/option><option value=\"155\">Autorizaci\u00f3n preoperatoria<\/option><option value=\"229\">S\u00edndrome de Taquicardia Ortost\u00e1tica Postural (POTS)<\/option><option value=\"162\">Revisar los resultados de las pruebas<\/option><option value=\"156\">Disfunci\u00f3n sexual<\/option><option value=\"220\">Frecuencia card\u00edaca baja<\/option><option value=\"231\">Apnea del sue\u00f1o (Estudio del sue\u00f1o)<\/option><option value=\"556\">Ara\u00f1as vasculares \/ Varices<\/option><option value=\"167\">Fumar<\/option><option value=\"157\">Evaluaci\u00f3n de accidentes cerebrovasculares<\/option><option value=\"158\">Prueba de Muerte S\u00fabita<\/option><\/select>      <\/div>\n    <\/div>\n    <div class=\"disabled field\"><\/div>\n  <\/div><!-- end form-line -->\n\n  <div class=\"two fields\">\n    <div class=\"disabled field reason\">\n      <label for=\"appt_reason\">Indique el motivo de su visita:<\/label>\n      <textarea id=\"appt_reason\" name=\"appt_reason\" cols=\"50\" rows=\"6\" placeholder=\"Motivo de su visita.\"><\/textarea>\n    <\/div>\n  <\/div><!-- end form-line -->\n\n  <div class=\"ui hidden divider\"><\/div>\n  <h2 class=\"ui dividing header\" id=\"select-preference-header\">\n    Me gustar\u00eda ver  <\/h2>\n\n  <div class=\"disabled field\" id=\"select-preference\">\n    \n    <div class=\"disabled field\">\n      <div class=\"ui radio select-preference checkbox checked\">\n        <input type=\"radio\" name=\"appt_staff_select_preference\" value=\"no-preference\" id=\"no-preference\" checked=\"checked\">\n        <label for=\"no-preference\">\n          <strong>Nuestro primer proveedor disponible<\/strong><\/label>\n      <\/div>\n    <\/div>\n    \n    <div class=\"disabled field\">\n      <div class=\"ui radio select-preference checkbox\">\n        <input type=\"radio\" name=\"appt_staff_select_preference\" value=\"preference-yes\" id=\"preference-yes\">\n        <label for=\"preference-yes\">\n          <strong>Tengo una preferencia<\/strong><\/label>\n      <\/div>\n    <\/div>  <\/div><!-- end select-preference -->\n\n  <div class=\"disabled field\" id=\"preferred-doctor\">\n    <div class=\"ui radio preference preference-blank checkbox checked\" style=\"display: none;\">\n      <input type=\"radio\" name=\"appt_staff_cat\" value=\"selected-preference\" id=\"selected-preference\" checked=\"checked\">\n    <\/div>\n    <!--\n    <div class=\"form-line-whole\">\n      <label for=\"appt_reason\">Preferred Doctor:<\/label><br \/>\n    <\/div>\n    -->      \n\n      <div class=\"ui centered grid preferences\"><div class=\"doubling four column row\"><div class=\"column\">\n                <div class=\"ui radio preference checkbox\">\n                  <img decoding=\"async\" src=\"https:\/\/manhattancardiology.com\/wp-content\/uploads\/2023\/01\/Diana-Rojas-PA.jpg\" alt=\"Diana Rojas, PA\" class=\"ui small circular image\" \/>\n                  <input type=\"radio\" name=\"appt_staff_cat\" value=\"33\" id=\"diana-rojas-pa\">\n                  <label for=\"diana-rojas-pa\"><strong>Diana Rojas, PA<\/strong><br \/><span class=\"staff-desc\">Diana Rojas, PA-C, es una asistente m\u00e9dica titulada con m\u00e1s de cinco a\u00f1os de experiencia atendiendo a pacientes en diversas especialidades. Titulada por el programa de formaci\u00f3n de asistentes m\u00e9dicos de la Facultad Sophie Davis de Educaci\u00f3n Biom\u00e9dica del City College de Nueva York, ha ejercido como asistente m\u00e9dica tanto en consultas privadas como en entornos hospitalarios. Diana cree en un enfoque equilibrado y basado en la evidencia que tenga en cuenta el estilo de vida, el entorno y todos los dem\u00e1s factores que puedan influir en los resultados de salud. Adem\u00e1s, se esfuerza por garantizar que sus pacientes se sientan plenamente informados sobre sus opciones de atenci\u00f3n sanitaria y tengan el control de su propio tratamiento. Diana habla espa\u00f1ol e ingl\u00e9s con fluidez. Se incorpor\u00f3 al equipo de Manhattan Cardiology en 2019.<\/span><\/label>\n                <\/div>\n              <\/div><div class=\"column\">\n                <div class=\"ui radio preference checkbox\">\n                  <img decoding=\"async\" src=\"https:\/\/manhattancardiology.com\/wp-content\/uploads\/2024\/10\/Jonathan-Jarman-Profile-Photo-jpg.webp\" alt=\"Jonathan Jarman, PA\" class=\"ui small circular image\" \/>\n                  <input type=\"radio\" name=\"appt_staff_cat\" value=\"508\" id=\"jonathan-jarman-pa\">\n                  <label for=\"jonathan-jarman-pa\"><strong>Jonathan Jarman, PA<\/strong><br \/><span class=\"staff-desc\">Conozca a Jonathan Jarman, un dedicado asistente m\u00e9dico con una maestr\u00eda en Ciencias de la Salud de la Universidad Drexel. Certificado por la NCCPA y orgulloso miembro de la AAPA, Jonathan cuenta con una amplia trayectoria. Habla ingl\u00e9s y espa\u00f1ol con fluidez, y tiene la misi\u00f3n de derribar barreras culturales y atender a la vibrante comunidad de pacientes en Nueva York.<br><br>\r\n\r\nEl enfoque de Jonathan en la atenci\u00f3n primaria surge de su pasi\u00f3n por generar comprensi\u00f3n y confianza con los pacientes. Su enfoque de tratamiento consiste en combinar la medicina basada en la evidencia con la experiencia pr\u00e1ctica, asegurando que los pacientes se sientan seguros y puedan seguir f\u00e1cilmente sus planes de tratamiento. Jonathan ve la atenci\u00f3n al paciente como un viaje colaborativo, donde la comunicaci\u00f3n y la toma de decisiones compartida desempe\u00f1an papeles cruciales.<br><br>\r\n\r\nEl aspecto m\u00e1s gratificante de su trabajo es ser testigo de las mejoras en la calidad de vida de los pacientes. Jonathan defiende apasionadamente la atenci\u00f3n m\u00e9dica proactiva, instando a las personas a estar atentas a su salud mediante visitas anuales, enfatizando el diagn\u00f3stico temprano para preservar el bienestar general. \u00c9l encarna un enfoque compasivo e integral de la salud, generando un impacto positivo en la vida de sus pacientes.\r\n\r\n<\/span><\/label>\n                <\/div>\n              <\/div><div class=\"column\">\n                <div class=\"ui radio preference checkbox\">\n                  <img decoding=\"async\" src=\"https:\/\/manhattancardiology.com\/wp-content\/uploads\/2026\/05\/Buscaglia.webp\" alt=\"Chris J Buscaglia PA\" class=\"ui small circular image\" \/>\n                  <input type=\"radio\" name=\"appt_staff_cat\" value=\"650\" id=\"chris-j-buscaglia-pa\">\n                  <label for=\"chris-j-buscaglia-pa\"><strong>Chris J Buscaglia PA<\/strong><br \/><span class=\"staff-desc\">Chris Buscaglia, PA-C es un asistente m\u00e9dico de cardiolog\u00eda dedicado a ayudar a los pacientes a alcanzar una salud f\u00edsica y mental s\u00f3lida para que puedan vivir sus vidas al m\u00e1ximo. Obtuvo su educaci\u00f3n m\u00e9dica en la Universidad SUNY Upstate Medical University y cuenta con licencia en el estado de Nueva York.<br><br>\r\n\r\nChris decidi\u00f3 centrarse en la cardiolog\u00eda porque cree que la salud card\u00edaca es la piedra angular del bienestar general. Al ayudar a los pacientes a construir y mantener una base card\u00edaca s\u00f3lida, apoya una salud a largo plazo que impacta cada aspecto de la vida.<br><br>\r\n\r\nSu enfoque de la atenci\u00f3n es altamente colaborativo. Chris trabaja en estrecha colaboraci\u00f3n con los pacientes para comprender sus objetivos de salud personales y desarrollar planes de tratamiento individualizados dise\u00f1ados para ayudarles a tener \u00e9xito. \u00c9l cree que los mejores resultados se obtienen cuando los pacientes se sienten empoderados, informados y activamente involucrados en su atenci\u00f3n.<br><br>\r\n\r\nPara Chris, la atenci\u00f3n al paciente significa garantizar que cada individuo se sienta escuchado, que sus preocupaciones sean atendidas y que cada decisi\u00f3n m\u00e9dica respalde un estilo de vida m\u00e1s saludable. Disfruta especialmente conocer a sus pacientes, escuchar sus historias, apoyarlos en los momentos dif\u00edciles y celebrar sus victorias de salud, tanto grandes como peque\u00f1as.<br><br>\r\n\r\nChris tambi\u00e9n cree que no existe un enfoque \u00fanico para la salud que sirva para todos. Alienta a los pacientes a encontrar h\u00e1bitos de vida sostenibles que funcionen mejor para ellos, reconociendo que el camino hacia el bienestar de cada persona es \u00fanico.\r\n<\/span><\/label>\n                <\/div>\n              <\/div><div class=\"column\">\n                <div class=\"ui radio preference checkbox\">\n                  <img decoding=\"async\" src=\"https:\/\/manhattancardiology.com\/wp-content\/uploads\/2023\/01\/04_Melissa_Kim.jpeg\" alt=\"Melissa Kim, PA-C, MHS\" class=\"ui small circular image\" \/>\n                  <input type=\"radio\" name=\"appt_staff_cat\" value=\"20\" id=\"melissa-kim-pa-c-mhs\">\n                  <label for=\"melissa-kim-pa-c-mhs\"><strong>Melissa Kim, PA-C, MHS<\/strong><br \/><span class=\"staff-desc\">Melissa Kim, PA-C, MHS, es una asistente m\u00e9dica certificada por la junta de la NCCPA que se gradu\u00f3 del Programa de Asistentes M\u00e9dicos de la Universidad de Maryland en Baltimore. Obtuvo su licenciatura en Ciencias del Ejercicio en la Universidad de Salisbury y luego complet\u00f3 su formaci\u00f3n como asistente m\u00e9dica en la Universidad de Maryland en Baltimore en 2020.<br><br>\r\n \r\n Antes de ingresar a la escuela de PA, Melissa trabaj\u00f3 como escribana m\u00e9dica en el Centro M\u00e9dico de la Universidad de Maryland \u2013 Shock Trauma y fue voluntaria e investigadora cl\u00ednica asistente en el Hospital Johns Hopkins. Es miembro de la Academia Estadounidense de Asistentes M\u00e9dicos y cuenta con certificaciones activas en ACLS, BLS y PALS. Melissa est\u00e1 dedicada a brindar a los pacientes la m\u00e1s alta calidad de atenci\u00f3n y se esfuerza continuamente por elevar el nivel de atenci\u00f3n que ofrece. Se uni\u00f3 al equipo de Manhattan Cardiology en 2020.<br><br>\r\n \r\n En su tiempo libre, a Melissa le gusta hacer senderismo, viajar, cocinar, probar nuevos restaurantes y pasar tiempo con su familia y amigos.<\/span><\/label>\n                <\/div>\n              <\/div><\/div><\/div>\n  <\/div><!-- end form-line -->\n\n  <div class=\"ui hidden divider\"><\/div>\n  <h2 class=\"ui dividing header\" id=\"schedule-appt-header\">\n    \u00bfCu\u00e1ndo le gustar\u00eda reservar una cita?  <\/h2>\n\n  <div class=\"two fields\" id=\"schedule-appt\">\n    <div class=\"disabled field\">\n      <label for=\"appt_apptdate\">Fecha de la cita: *<\/label>\n      <div class=\"ui icon appt-calendar input\">\n        <input type=\"text\" id=\"appt_apptdate\" value=\"\" size=\"20\" name=\"appt_apptdate\" class=\"calendar-appointment\" placeholder=\"Fecha\" readonly=\"true\" \/>\n        <i class=\"calendar icon\"><\/i>\n      <\/div>\n    <\/div>\n\n    <div class=\"disabled field\">\n      <div class=\"thg-appointment-time\">\n        <label for=\"thg_appt_appttime\">Hora de la cita: *<\/label>\n        <select name=\"thg_appt_appttime\" id=\"thg_appt_appttime\" class=\"ui disabled dropdown\">\n          <option value=\"\">Seleccionar hora<\/option>\n        <\/select>\n\n      <\/div><!-- end thg-appointment-time -->\n    <\/div>\n\n  <\/div><!-- end two fields -->\n\n  <div class=\"ui hidden divider\"><\/div>\n  <h2 class=\"ui dividing header\" id=\"personal-information-header\">\n    Informaci\u00f3n Personal  <\/h2>\n\n  <div id=\"personal-information\">\n    <div class=\"three fields\">\n      <div class=\"disabled field\">\n        <label for=\"appt_firstname\">Nombre *<\/label>\n        <div class=\"ui icon input\">\n          <input type=\"text\" id=\"appt_firstname\" value=\"\" size=\"20\" name=\"appt_firstname\" placeholder=\"Nombre\" \/>\n          <i class=\"write icon\"><\/i>\n        <\/div>\n      <\/div>\n\n      <div class=\"disabled field\">\n        <label for=\"appt_lastname\">Apellido *<\/label>\n        <div class=\"ui icon input\">\n          <input type=\"text\" id=\"appt_lastname\" value=\"\" size=\"20\" name=\"appt_lastname\" placeholder=\"Apellido\" \/>\n          <i class=\"write icon\"><\/i>\n        <\/div>\n      <\/div>\n\n      <div class=\"disabled field\">\n        <label for=\"appt_dateofbirth\">Fecha de nacimiento *<\/label>\n        <div class=\"ui icon input\">\n          <input type=\"text\" id=\"appt_dateofbirth\" value=\"\" size=\"20\" name=\"appt_dateofbirth\" class=\"calendar-dob\" placeholder=\"1970-01-01\" readonly=\"true\" \/>\n          <i class=\"calendar icon\"><\/i>\n        <\/div>\n      <\/div>\n    <\/div><!-- end three fields -->\n\n    \n    <div class=\"three fields\">\n      <div class=\"disabled field\">\n        <label for=\"appt_emailaddress\">Direcci\u00f3n de correo electr\u00f3nico *<\/label>\n        <div class=\"ui icon input\">\n          <input type=\"email\" id=\"appt_emailaddress\" value=\"\" size=\"20\" name=\"appt_emailaddress\" placeholder=\"email@example.com\" \/>\n          <i class=\"mail outline icon\"><\/i>\n        <\/div>\n      <\/div>\n\n      <div class=\"disabled field\">\n        <label for=\"appt_contactnumber\">N\u00famero de contacto *<\/label>\n        <div class=\"ui icon input\">\n          <input type=\"tel\" id=\"appt_contactnumber\" value=\"\" size=\"20\" name=\"appt_contactnumber\" placeholder=\"(123) 456-7890\" data-mask=\"(000) 000-0000\" \/>\n          <i class=\"call icon\"><\/i>\n        <\/div>\n      <\/div>\n\n      <div class=\"disabled field extensionnumber\">\n        <label for=\"appt_extensionnumber\">N\u00famero de extensi\u00f3n<\/label>\n        <input type=\"number\" id=\"appt_extensionnumber\" value=\"\" size=\"20\" name=\"appt_extensionnumber\" placeholder=\"N\u00famero de extensi\u00f3n\" \/>\n      <\/div>\n    <\/div><!-- end three fields -->\n  <\/div><!-- end personal-information -->\n\n  <div class=\"ui hidden divider\"><\/div>\n  <h2 class=\"ui dividing header\" id=\"insurance-header\">\n    \u00bfVas a usar el seguro?  <\/h2>\n\n  <div class=\"inline fields\" id=\"insurance-type\">\n    <div class=\"disabled field\">\n      <div class=\"ui radio checkbox\">\n        <input type=\"radio\" name=\"appt_insurance\" id=\"appt_insuranceyes\" class=\"appt_insurancetype\" value=\"YES\" checked>\n        <label for=\"appt_insuranceyes\">Seguro m\u00e9dico<\/label>\n      <\/div>\n      <div class=\"ui radio checkbox\">\n        <input type=\"radio\" name=\"appt_insurance\" id=\"appt_insuranceno\" class=\"appt_insurancetype\" value=\"NO\">\n        <label for=\"appt_insuranceno\">Pago por cuenta propia<\/label>\n      <\/div>\n    <\/div>\n  <\/div><!-- end fields -->\n\n  <div class=\"appt_insurancetype_dropdown\">\n    <div class=\"two fields\">\n      <div class=\"disabled field\">\n        <label for=\"appt_insurance_cat\">Seleccione su seguro m\u00e9dico *<\/label>\n\n        <select name=\"appt_insurance_cat\" id=\"appt_insurance_cat\" class=\"ui search dropdown selection\"><option value=\"\">Select Insurance<\/option><option value=\"105\">Empire Plan de NYSHIP<\/option><option value=\"106\">GHI<\/option><option value=\"107\">MagnaCare<\/option><option value=\"108\">Multiplan<\/option><option value=\"109\">MVP<\/option><option value=\"110\">Nippon Life Benefits<\/option><option value=\"111\">Oxford Health<\/option><option value=\"112\">PHCS<\/option><option value=\"113\">POMCO<\/option><option value=\"98\">1199<\/option><option value=\"114\">UMR<\/option><option value=\"99\">Aetna<\/option><option value=\"115\">United Healthcare (HMO\/EPO\/PPO)<\/option><option value=\"100\">AXA<\/option><option value=\"116\">Otro<\/option><option value=\"101\">Blue Cross \/ Blue Shield<\/option><option value=\"102\">Cigna<\/option><option value=\"103\">Emblema GHI<\/option><option value=\"104\">Emblem PPO<\/option><\/select>      <\/div>\n\n      <div class=\"disabled field\">\n        <label for=\"appt_insuranceid\">Seguro #ID *<\/label>\n        <input type=\"text\" id=\"appt_insuranceid\" value=\"\" size=\"20\" name=\"appt_insuranceid\" placeholder=\"p. ej. 5678-1234-A\" \/>\n      <\/div>\n    <\/div>\n    <div class=\"ui vertical segment\">\n      <p class=\"insurance-verification-text\">\n        Podemos acortar su tiempo de espera si proporciona este n\u00famero para su verificaci\u00f3n antes de su cita.\n      <\/p>\n    <\/div>\n    <div class=\"two fields\">\n      <div class=\"disabled field insurancecophone\">\n        <label for=\"appt_insurancecophone\">Tel\u00e9fono de la compa\u00f1\u00eda de seguros<\/label>\n        <input type=\"tel\" id=\"appt_insurancecophone\" value=\"\" size=\"20\" name=\"appt_insurancecophone\" placeholder=\"(123) 456-7890\" data-mask=\"(000) 000-0000\" \/>\n      <\/div>\n      <div class=\"disabled field\"><\/div>\n    <\/div>\n  <\/div>\n\n  <div class=\"ui hidden divider\"><\/div>\n\n  \n    <h2 class=\"ui dividing header\" id=\"survey-header\">\n      \u00bfC\u00f3mo nos encontr\u00f3?    <\/h2>\n\n    <div class=\"two fields\" id=\"select-survey-dropdown\">\n      <div class=\"disabled field\">\n        <div class=\"appt_survey_dropdown\">\n\n          <select name=\"appt_survey_cat\" id=\"appt_survey_cat\" class=\"ui dropdown selection\"><option value=\"\">\u00bfC\u00f3mo nos encontr\u00f3?<\/option><\/select>        <\/div>\n      <\/div>\n      <div class=\"disabled field\"><\/div>\n    <\/div><!-- end form-line -->\n\n    <div class=\"ui hidden divider\"><\/div>\n\n  \n  <!-- NEW COVID SECTION -->\n    <!-- END COVID SECTION -->\n\n  <h2 class=\"ui dividing header\" id=\"recaptcha-header\">\n    Por favor, confirma que no eres un robot  <\/h2>\n\n  <div class=\"fields\">\n    <div class=\"disabled field\">\n            <div class=\"g-recaptcha\" data-sitekey=\"6Lffvp8UAAAAAFPVVVlnArDtt6tpG-tw_0vy_JdW\" data-callback=\"correctCaptcha\"><\/div>\n      <input type=\"hidden\" name=\"recaptcha\" id=\"recaptcha-validation\" \/>\n    <\/div>\n  <\/div>\n\n  <div class=\"ui hidden divider\"><\/div>\n\n  <div class=\"fields\">\n    <div class=\"disabled field\">\n            <input type=\"submit\" value=\"Reservar cita\" id=\"appt_submit\" name=\"appt_submit\" class=\"ui primary submit huge button\" \/>\n    <\/div>\n  <\/div><!-- end fields -->\n\n  <!-- Google reCaptcha -->\n  <script type=\"text\/javascript\">\n    var recaptchaVerified = false;\n\n    var correctCaptcha = function(response) {\n      recaptchaVerified = true;\n      console.log('reCaptcha verified');\n    };\n\n    var expiredCaptcha = function() {\n      recaptchaVerified = false;\n      console.log('reCaptcha expired');\n    };\n  <\/script>\n  <script src=\"https:\/\/www.google.com\/recaptcha\/api.js\" async defer><\/script>\n\n  <div class=\"ui error message\"><\/div>\n\n  <input type=\"hidden\" name=\"action\" value=\"new_appt_post\" \/>\n  <input type=\"hidden\" name=\"appt_post_type\" id=\"appt_post_type\" value=\"appointments\" \/>\n  <input type=\"hidden\" name=\"appt_location_cat_hidden\" id=\"appt_location_cat_hidden\" value=\"\" \/>\n  <input type=\"hidden\" name=\"appt_survey_cat_hidden\" id=\"appt_survey_cat_hidden\" value=\"\" \/>\n  <input type=\"hidden\" name=\"appt_reasons_new_cat_hidden\" id=\"appt_reasons_new_cat_hidden\" value=\"\" \/>\n  <input type=\"hidden\" name=\"appt_reasons_established_cat_hidden\" id=\"appt_reasons_established_cat_hidden\" value=\"\" \/>\n  <input type=\"hidden\" name=\"appt_insurance_cat_hidden\" id=\"appt_insurance_cat_hidden\" value=\"\" \/>\n\n  <input type=\"hidden\" id=\"appt_nonce_field\" name=\"appt_nonce_field\" value=\"24445fe46a\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/15618\" \/>\n<\/div><!-- end ajax-call-fields -->\n    <input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form>\n  <\/div><!-- end appointment-form -->\n\n  \n\n\n\n<p><span style=\"color: #ff0000;\"><strong>NOTA: Esta no es una cita confirmada. Nuestro personal se pondr\u00e1 en contacto con usted en un plazo de 24 horas para confirmar la hora y la solicitud de su cita.<\/strong><\/span><\/p>\r\n<p><span style=\"color: #ff0000;\">*Una vez confirmada la cita, se aplica una pol\u00edtica de cancelaci\u00f3n de 48 horas. Todas las citas en la consulta est\u00e1n sujetas a una tasa por no presentarse de $150.<\/span><\/p>\r\n<p><span style=\"color: #ff0000;\">Las citas con el Dr. Robert Segal son con un profesional de la salud bajo su supervisi\u00f3n.<br>\r\nEs posible que no sea atendido directamente por el Dr. Robert Segal.<\/span><\/p>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>NOTE: This is not a confirmed appointment. Our staff will be in touch within 24-hours to confirm your appointment time and request. *Once confirmed we have a 48-hour appointment cancellation policy. All in-office appointments as subject to a $150 no show fee. Appointments with Dr. Robert Segal&nbsp;are with a healthcare professional under his&nbsp;supervision. You may [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-15618","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Request an Appointment | Manhattan Cardiology<\/title>\n<meta name=\"description\" content=\"Request an appointment with Manhattan Cardiology. 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