{"id":1599,"date":"2025-04-10T15:19:37","date_gmt":"2025-04-10T20:19:37","guid":{"rendered":"https:\/\/incodol.com\/?page_id=1599"},"modified":"2025-06-19T19:52:59","modified_gmt":"2025-06-20T00:52:59","slug":"qccsc","status":"publish","type":"page","link":"https:\/\/incodol.com\/en\/qccsc\/","title":{"rendered":"QCCSC"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||3px|||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; width=&#8221;100%&#8221; max_width=&#8221;100%&#8221; custom_padding=&#8221;3px||1px|||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/incodol.com\/wp-content\/uploads\/2025\/06\/PQRSF-INGLES1.png&#8221; title_text=&#8221;PQRSF &#8211; INGLE\u0301S(1)&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-3px|||||&#8221; animation_style=&#8221;slide&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; animation_style=&#8221;slide&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|300|||||||&#8221; text_text_color=&#8221;#737373&#8243; text_font_size=&#8221;18px&#8221; text_orientation=&#8221;center&#8221; custom_padding=&#8221;||0px|||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p style=\"text-align: justify;\">Your opinion is important for the improvement of our Institute. Please share your concerns and comments below, and don\u2019t forget to complete the entire form so we can provide a timely response.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; animation_style=&#8221;slide&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_code _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;30px|30px|30px|30px|true|true&#8221; hover_enabled=&#8221;0&#8243; border_radii=&#8221;on|10px|10px|10px|10px&#8221; box_shadow_style=&#8221;preset1&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<div class=\"forminator-ui forminator-custom-form forminator-custom-form-1725 forminator-design--default  \" data-forminator-render=\"0\" data-form=\"forminator-module-1725\" data-uid=\"69e9fe8331a58\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-1725\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-1725 forminator-design--default  \"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"1725\"\n\t\t\t\t\n\t\t\t\tdata-design=\"default\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"open\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"69e9fe8331a58\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"Enter Full Name\" id=\"forminator-field-name-1_69e9fe8331a58\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"Enter Identification Document Number\" id=\"forminator-field-text-1_69e9fe8331a58\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"EPS you belong to\" id=\"forminator-field-text-2_69e9fe8331a58\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-4 \"><div class=\"forminator-field\"><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Email\" id=\"forminator-field-email-1_69e9fe8331a58\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-4 \"><div class=\"forminator-field\"><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Phone\" id=\"forminator-field-phone-1_69e9fe8331a58\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"text\" name=\"address-1-street_address\" placeholder=\"Address\" id=\"forminator-field-address-1-street_address_69e9fe8331a58\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1-address_line\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"text\" name=\"address-1-address_line\" placeholder=\"Neighborhood\" id=\"forminator-field-address-1-address_line_69e9fe8331a58\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-city\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><input type=\"text\" name=\"address-1-city\" placeholder=\"City\" id=\"forminator-field-address-1-city_69e9fe8331a58\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><select  id=\"forminator-form-1725__field--select-1_69e9fe8331a58\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Select the type of request\" data-search=\"false\" data-search-placeholder=\"Select the type of request\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-1725__field--select-1_69e9fe8331a58-label\"><option value=\"\"  >Select the type of request<\/option><option value=\"one\"  data-calculation=\"0\">Request<\/option><option value=\"two\"  data-calculation=\"0\">Complaint<\/option><option value=\"Reclamo\"  data-calculation=\"0\">Claim<\/option><option value=\"Sugerencia\"  data-calculation=\"0\">Suggestion<\/option><option value=\"Felicitaci\u00f3n\"  data-calculation=\"0\">Compliment<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><select  id=\"forminator-form-1725__field--select-2_69e9fe8331a58\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Service provided\" data-search=\"false\" data-search-placeholder=\"Service provided\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-1725__field--select-2_69e9fe8331a58-label\"><option value=\"\"  >Service provided<\/option><option value=\"one\"  data-calculation=\"0\">Orthopedics<\/option><option value=\"two\"  data-calculation=\"0\">Pain<\/option><option value=\"Cirugia\"  data-calculation=\"0\">Surgery<\/option><option value=\"Atenci\u00f3n-prioritaria\"  data-calculation=\"0\">Priority care<\/option><option value=\"Urgencias\"  data-calculation=\"0\">Emergency services<\/option><option value=\"Otro,-especifique-cual?\"  data-calculation=\"0\">Other, please specify which one<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"Other, which service?\" id=\"forminator-field-text-3_69e9fe8331a58\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"Name of the Staff Member Who Assisted You (if you remember)\" id=\"forminator-field-text-4_69e9fe8331a58\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-1\" placeholder=\"Space to Fill Out the Request\" id=\"forminator-field-textarea-1_69e9fe8331a58\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12 \"><div class=\"forminator-field\"><div class=\"forminator-checkbox__wrapper\"><label for=\"forminator-field-consent-1_69e9fe8331a58\" id=\"forminator-field-consent-1_69e9fe8331a58__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69e9fe8331a58\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69e9fe8331a58-label\" aria-describedby=\"forminator-field-consent-1_69e9fe8331a58__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69e9fe8331a58__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>I approve Incodol's policies when filling out information for PQRS<\/p>\n<p>Privacy Policy Manual<br>Privacy Notice<br>Website Content Usage Policy<\/p><\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">SEND<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"d46b09bc99\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/1599\" \/><input type=\"hidden\" name=\"form_id\" value=\"1725\"><input type=\"hidden\" name=\"page_id\" value=\"1599\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/incodol.com\/en\/qccsc\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form>[\/et_pb_code][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|300|||||||&#8221; text_text_color=&#8221;#737373&#8243; text_font_size=&#8221;18px&#8221; text_orientation=&#8221;justified&#8221; custom_padding=&#8221;||0px|||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"color: #0173a9;\"><strong>Please note!<\/strong><\/span><\/p>\n<p><span style=\"color: #0173a9;\"><strong><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-866 alignnone size-full\" src=\"https:\/\/incodol.com\/wp-content\/uploads\/2025\/04\/Captura-de-pantalla-2025-04-16-182916.png\" alt=\"\" width=\"15\" height=\"18\" \/>REQUEST:<\/strong> <\/span>A formal action by which the user respectfully asks the company for any information related to the provision of services.<br \/><span style=\"color: #0173a9;\"><strong><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-866 alignnone size-full\" src=\"https:\/\/incodol.com\/wp-content\/uploads\/2025\/04\/Captura-de-pantalla-2025-04-16-182916.png\" alt=\"\" width=\"15\" height=\"18\" \/>COMPLAINT:<\/strong><\/span>\u00a0An expression made by the user to the company due to dissatisfaction caused by the service provided by one of our professionals or healthcare staff.<br \/><span style=\"color: #0173a9;\"><strong><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-866 alignnone size-full\" src=\"https:\/\/incodol.com\/wp-content\/uploads\/2025\/04\/Captura-de-pantalla-2025-04-16-182916.png\" alt=\"\" width=\"15\" height=\"18\" \/>CLAIM:<\/strong><\/span>\u00a0An objection or disagreement presented by the user, aimed at having the company review and evaluate an action related to a process or area of the Institute.<br \/><span style=\"color: #0173a9;\"><strong><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-866 alignnone size-full\" src=\"https:\/\/incodol.com\/wp-content\/uploads\/2025\/04\/Captura-de-pantalla-2025-04-16-182916.png\" alt=\"\" width=\"15\" height=\"18\" \/>SUGGESTION:<\/strong><\/span>\u00a0A proposal submitted by a user to help improve a process related to the Institute\u2019s service delivery.<br \/><span style=\"color: #0173a9;\"><strong><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-866 alignnone size-full\" src=\"https:\/\/incodol.com\/wp-content\/uploads\/2025\/04\/Captura-de-pantalla-2025-04-16-182916.png\" alt=\"\" width=\"15\" height=\"18\" \/>COMPLIMENT:<\/strong><\/span>\u00a0A statement from a customer, user, or interested party expressing satisfaction or appreciation for the staff, the Institute, and the services provided.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Your opinion is important for the improvement of our Institute. Please share your concerns and comments below, and don\u2019t forget to complete the entire form so we can provide a timely response.<div class=\"forminator-ui forminator-custom-form forminator-custom-form-1725 forminator-design--default  \" data-forminator-render=\"1\" data-form=\"forminator-module-1725\" data-uid=\"69e9fe838ea5a\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-1725\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-1725 forminator-design--default  \"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"1\"\n\t\t\t\tdata-form-id=\"1725\"\n\t\t\t\t\n\t\t\t\tdata-design=\"default\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"open\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"69e9fe838ea5a\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"Enter Full Name\" id=\"forminator-field-name-1_69e9fe838ea5a\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"Enter Identification Document Number\" id=\"forminator-field-text-1_69e9fe838ea5a\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"EPS you belong to\" id=\"forminator-field-text-2_69e9fe838ea5a\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-4 \"><div class=\"forminator-field\"><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Email\" id=\"forminator-field-email-1_69e9fe838ea5a\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-4 \"><div class=\"forminator-field\"><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Phone\" id=\"forminator-field-phone-1_69e9fe838ea5a\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"text\" name=\"address-1-street_address\" placeholder=\"Address\" id=\"forminator-field-address-1-street_address_69e9fe838ea5a\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1-address_line\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"text\" name=\"address-1-address_line\" placeholder=\"Neighborhood\" id=\"forminator-field-address-1-address_line_69e9fe838ea5a\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-city\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><input type=\"text\" name=\"address-1-city\" placeholder=\"City\" id=\"forminator-field-address-1-city_69e9fe838ea5a\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><select  id=\"forminator-form-1725__field--select-1_69e9fe838ea5a\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Select the type of request\" data-search=\"false\" data-search-placeholder=\"Select the type of request\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-1725__field--select-1_69e9fe838ea5a-label\"><option value=\"\"  >Select the type of request<\/option><option value=\"one\"  data-calculation=\"0\">Request<\/option><option value=\"two\"  data-calculation=\"0\">Complaint<\/option><option value=\"Reclamo\"  data-calculation=\"0\">Claim<\/option><option value=\"Sugerencia\"  data-calculation=\"0\">Suggestion<\/option><option value=\"Felicitaci\u00f3n\"  data-calculation=\"0\">Compliment<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><select  id=\"forminator-form-1725__field--select-2_69e9fe838ea5a\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Service provided\" data-search=\"false\" data-search-placeholder=\"Service provided\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-1725__field--select-2_69e9fe838ea5a-label\"><option value=\"\"  >Service provided<\/option><option value=\"one\"  data-calculation=\"0\">Orthopedics<\/option><option value=\"two\"  data-calculation=\"0\">Pain<\/option><option value=\"Cirugia\"  data-calculation=\"0\">Surgery<\/option><option value=\"Atenci\u00f3n-prioritaria\"  data-calculation=\"0\">Priority care<\/option><option value=\"Urgencias\"  data-calculation=\"0\">Emergency services<\/option><option value=\"Otro,-especifique-cual?\"  data-calculation=\"0\">Other, please specify which one<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"Other, which service?\" id=\"forminator-field-text-3_69e9fe838ea5a\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"Name of the Staff Member Who Assisted You (if you remember)\" id=\"forminator-field-text-4_69e9fe838ea5a\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><textarea name=\"textarea-1\" placeholder=\"Space to Fill Out the Request\" id=\"forminator-field-textarea-1_69e9fe838ea5a\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12 \"><div class=\"forminator-field\"><div class=\"forminator-checkbox__wrapper\"><label for=\"forminator-field-consent-1_69e9fe838ea5a\" id=\"forminator-field-consent-1_69e9fe838ea5a__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69e9fe838ea5a\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69e9fe838ea5a-label\" aria-describedby=\"forminator-field-consent-1_69e9fe838ea5a__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69e9fe838ea5a__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>I approve Incodol's policies when filling out information for PQRS<\/p>\n<p>Privacy Policy Manual<br>Privacy Notice<br>Website Content Usage Policy<\/p><\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">SEND<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"d46b09bc99\" \/><input type=\"hidden\" name=\"_wp_http_referer\" 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REQUEST: A formal action by which the user respectfully asks the company for any information related to the provision of services.COMPLAINT:\u00a0An [&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,"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-1599","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/incodol.com\/en\/wp-json\/wp\/v2\/pages\/1599","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/incodol.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/incodol.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/incodol.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/incodol.com\/en\/wp-json\/wp\/v2\/comments?post=1599"}],"version-history":[{"count":4,"href":"https:\/\/incodol.com\/en\/wp-json\/wp\/v2\/pages\/1599\/revisions"}],"predecessor-version":[{"id":1772,"href":"https:\/\/incodol.com\/en\/wp-json\/wp\/v2\/pages\/1599\/revisions\/1772"}],"wp:attachment":[{"href":"https:\/\/incodol.com\/en\/wp-json\/wp\/v2\/media?parent=1599"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}