{"id":56747,"date":"2022-09-29T08:47:48","date_gmt":"2022-09-29T13:47:48","guid":{"rendered":"https:\/\/www.imsalud.gov.co\/web\/?page_id=56747"},"modified":"2025-08-29T08:34:31","modified_gmt":"2025-08-29T13:34:31","slug":"formulario-de-inscripcion-ciudadana-a-procesos-de-participacion-instancias-o-acciones-que-ofrece-la-entidad","status":"publish","type":"page","link":"https:\/\/www.imsalud.gov.co\/web\/transparencia\/formulario-de-inscripcion-ciudadana-a-procesos-de-participacion-instancias-o-acciones-que-ofrece-la-entidad\/","title":{"rendered":"Formulario de Inscripci\u00f3n Ciudadana a Procesos de Participaci\u00f3n, Instancias o Acciones que Ofrece la Entidad"},"content":{"rendered":"\n<div class=\"row\"  id=\"row-1505273547\">\n\n\n\t<div id=\"col-1138223634\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\n  <div class=\"banner has-hover\" id=\"banner-1240300041\">\n          <div class=\"banner-inner fill\">\n        <div class=\"banner-bg fill\" >\n                                                \n                    <\/div>\n\t\t\n        <div class=\"banner-layers container\">\n            <div class=\"fill banner-link\"><\/div>            \n\n   <div id=\"text-box-1309432469\" class=\"text-box banner-layer x50 md-x50 lg-x50 y50 md-y50 lg-y50 res-text\">\n                                <div class=\"text-box-content text dark\">\n              \n              <div class=\"text-inner text-center\">\n                  \n\n\t<div id=\"text-1857680860\" class=\"text\">\n\t\t\n\n<h4 class=\"uppercase\">Formulario de Inscripci\u00f3n Ciudadana a Procesos de Participaci\u00f3n, Instancias o Acciones que Ofrece la Entidad<\/h4>\n\t\t\n<style>\n#text-1857680860 {\n  font-size: 0.75rem;\n}\n<\/style>\n\t<\/div>\n\t\n\n              <\/div>\n           <\/div>\n                            \n<style>\n#text-box-1309432469 {\n  width: 60%;\n}\n#text-box-1309432469 .text-box-content {\n  font-size: 100%;\n}\n<\/style>\n    <\/div>\n \n\n        <\/div>\n      <\/div>\n\n            \n<style>\n#banner-1240300041 {\n  padding-top: 80px;\n}\n<\/style>\n  <\/div>\n\n\n<p>En este formulario puede enviar propuestas a la ESE Imsalud en cuanto a Presupuesto, proyectos, temas de inter\u00e9s, vigilancia y control<\/p>\n<p>Las preguntas con (*) son obligatorias<\/p>\n<div class='fluentform ff-default fluentform_wrapper_10 ffs_default_wrap'><form data-form_id=\"10\" id=\"fluentform_10\" class=\"frm-fluent-form fluent_form_10 ff-el-form-top ff_form_instance_10_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_10_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Participaci\u00f3n ciudadana<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='56747' \/><input type=\"hidden\" id=\"_fluentform_10_fluentformnonce\" name=\"_fluentform_10_fluentformnonce\" value=\"938fd7b691\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/web\/wp-json\/wp\/v2\/pages\/56747\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_10_names_first_name_' id='label_ff_10_names_first_name_' >Nombres<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_10_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Digite sus nombres\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_10_names_last_name_' id='label_ff_10_names_last_name_' >Apellidos<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_10_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Digite sus apellidos\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_10_input_text' id='label_ff_10_input_text' aria-label=\"Tel\u00e9fono\">Tel\u00e9fono<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" placeholder=\"Digite su n\u00famero de contacto m\u00f3vil o fijo\" data-name=\"input_text\" id=\"ff_10_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_10_email' id='label_ff_10_email' aria-label=\"Correo electr\u00f3nico\">Correo electr\u00f3nico<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_10_email\" class=\"ff-el-form-control\" placeholder=\"Digite su direcci\u00f3n de correo electr\u00f3nico: usuario@dominio.com\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Desea participar o postular:\">Desea participar o postular:<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_b1822cd7a344aa88a45c0789b68b1e46'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Propuestas a la planeaci\u00f3n y\/o presupuesto\"  id='input_radio_b1822cd7a344aa88a45c0789b68b1e46' aria-label='Propuestas a la planeaci\u00f3n y\/o presupuesto' aria-invalid='false' aria-required=true> <span>Propuestas a la planeaci\u00f3n y\/o presupuesto<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_c93dbf65e043e1964b93f20b63325c70'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Propuestas a normas, pol\u00edticas, programas o proyectos\"  id='input_radio_c93dbf65e043e1964b93f20b63325c70' aria-label='Propuestas a normas, pol\u00edticas, programas o proyectos' aria-invalid='false' aria-required=true> <span>Propuestas a normas, pol\u00edticas, programas o proyectos<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_f091330a64c396683a8c00c10bfcb74b'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Temas de inter\u00e9s y preferencias metodol\u00f3gicas en relaci\u00f3n con los espacios de informaci\u00f3n y di\u00e1logo\"  id='input_radio_f091330a64c396683a8c00c10bfcb74b' aria-label='Temas de inter\u00e9s y preferencias metodol\u00f3gicas en relaci\u00f3n con los espacios de informaci\u00f3n y di\u00e1logo' aria-invalid='false' aria-required=true> <span>Temas de inter\u00e9s y preferencias metodol\u00f3gicas en relaci\u00f3n con los espacios de informaci\u00f3n y di\u00e1logo<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_aee3812d3cb2dcb3bf2a64dbfea757ec'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Solicitudes para hacer vigilancia y control social a la gesti\u00f3n institucional\"  id='input_radio_aee3812d3cb2dcb3bf2a64dbfea757ec' aria-label='Solicitudes para hacer vigilancia y control social a la gesti\u00f3n institucional' aria-invalid='false' aria-required=true> <span>Solicitudes para hacer vigilancia y control social a la gesti\u00f3n institucional<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_10_description' id='label_ff_10_description' aria-label=\"Descripci\u00f3n\">Descripci\u00f3n<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"true\" aria-labelledby=\"label_ff_10_description\" name=\"description\" id=\"ff_10_description\" class=\"ff-el-form-control\" placeholder=\"Por favor describa su propuesta, tema de inter\u00e9s o solicitud\" rows=\"3\" cols=\"2\" data-name=\"description\" ><\/textarea><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='T\u00e9rminos y condiciones: Autoriza el tratamiento de responsable de sus datos por parte de la ESE IMSALUD de acuerdo a la pol\u00edtica de tratamiento de datos y condiciones de uso Contiene 2 enlaces. Usa la navegaci\u00f3n por pesta\u00f1as para rese\u00f1ar.' class='ff-el-form-check-label ff_tc_label' for=terms-n-condition_846f465559d6c7f6e64a887f05d9d7b7><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"terms-n-condition\" class=\"ff-el-form-check-input\" data-name=\"terms-n-condition\" id=\"terms-n-condition_846f465559d6c7f6e64a887f05d9d7b7\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'><p>Autoriza el tratamiento de responsable de sus datos por parte de la ESE IMSALUD de acuerdo a la <a href=\"https:\/\/www.imsalud.gov.co\/web\/wp-content\/uploads\/2024\/12\/RESOLUCION-706-TRATAMIENTO-DE-DATOS-PERSONALES.pdf\">pol\u00edtica de tratamiento de datos<\/a> y <a href=\"https:\/\/www.imsalud.gov.co\/web\/wp-content\/uploads\/2025\/08\/TIC-01-G-01-GUIA-AVISO-DE-PRIVACIDAD.pdf\">condiciones de uso<\/a><\/p><\/div><\/label><\/div><\/div><div class='ff-el-group ff-text-center ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-lg ff_btn_style\"  aria-label=\"Enviar\">Enviar<\/button><\/div><\/fieldset><\/form><div id='fluentform_10_errors' class='ff-errors-in-stack ff_form_instance_10_1 ff-form-loading_errors ff_form_instance_10_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_10_1 = {\"id\":\"10\",\"ajaxUrl\":\"https:\\\/\\\/www.imsalud.gov.co\\\/web\\\/wp-admin\\\/admin-ajax.php\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"asteriskPlacement\":\"asterisk-right\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"cssClassName\":\"\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_10_1\",\"form_id_selector\":\"fluentform_10\",\"rules\":{\"names[first_name]\":{\"required\":{\"value\":true,\"message\":\"Este campo es obligatorio\",\"global_message\":\"Este campo es obligatorio\",\"global\":true}},\"names[middle_name]\":{\"required\":{\"value\":false,\"message\":\"Este campo es obligatorio\",\"global_message\":\"Este campo es obligatorio\",\"global\":true}},\"names[last_name]\":{\"required\":{\"value\":true,\"message\":\"Este campo es obligatorio\",\"global_message\":\"Este campo es obligatorio\",\"global\":true}},\"input_text\":{\"required\":{\"value\":true,\"message\":\"Este campo es obligatorio\",\"global_message\":\"Este campo es obligatorio\",\"global\":true}},\"email\":{\"required\":{\"value\":true,\"message\":\"Este campo es obligatorio\",\"global_message\":\"Este campo es obligatorio\",\"global\":true},\"email\":{\"value\":true,\"message\":\"Este campo debe contener un correo electr\\u00f3nico v\\u00e1lido\",\"global_message\":\"Este campo debe contener un correo electr\\u00f3nico v\\u00e1lido\",\"global\":true}},\"input_radio\":{\"required\":{\"value\":true,\"message\":\"Este campo es obligatorio\",\"global_message\":\"Este campo es obligatorio\",\"global\":true}},\"description\":{\"required\":{\"value\":true,\"message\":\"Este campo es obligatorio\",\"global_message\":\"Este campo es obligatorio\",\"global\":true}},\"terms-n-condition\":{\"required\":{\"value\":true,\"message\":\"Este campo es obligatorio\",\"global_message\":\"Este campo es obligatorio\",\"global\":true}}},\"debounce_time\":300};\n                            <\/script>\n            \n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":19,"featured_media":0,"parent":10608,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-56747","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.imsalud.gov.co\/web\/wp-json\/wp\/v2\/pages\/56747","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.imsalud.gov.co\/web\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.imsalud.gov.co\/web\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.imsalud.gov.co\/web\/wp-json\/wp\/v2\/users\/19"}],"replies":[{"embeddable":true,"href":"https:\/\/www.imsalud.gov.co\/web\/wp-json\/wp\/v2\/comments?post=56747"}],"version-history":[{"count":4,"href":"https:\/\/www.imsalud.gov.co\/web\/wp-json\/wp\/v2\/pages\/56747\/revisions"}],"predecessor-version":[{"id":111779,"href":"https:\/\/www.imsalud.gov.co\/web\/wp-json\/wp\/v2\/pages\/56747\/revisions\/111779"}],"up":[{"embeddable":true,"href":"https:\/\/www.imsalud.gov.co\/web\/wp-json\/wp\/v2\/pages\/10608"}],"wp:attachment":[{"href":"https:\/\/www.imsalud.gov.co\/web\/wp-json\/wp\/v2\/media?parent=56747"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}