{"id":334,"date":"2023-03-24T09:07:16","date_gmt":"2023-03-24T16:07:16","guid":{"rendered":"https:\/\/www.empirevein.com\/?page_id=334"},"modified":"2026-05-22T09:04:04","modified_gmt":"2026-05-22T16:04:04","slug":"libro-en-linea","status":"publish","type":"page","link":"https:\/\/empirevein.com\/es\/libro-en-linea\/","title":{"rendered":"Reserva una cita para una revisi\u00f3n de venas."},"content":{"rendered":"<style>.kb-row-layout-id334_812b52-1f > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id334_812b52-1f > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id334_812b52-1f > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:0px;grid-template-columns:repeat(2, minmax(0, 1fr));}.kb-row-layout-id334_812b52-1f > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id334_812b52-1f > .kt-row-column-wrap{grid-template-columns:repeat(2, minmax(0, 1fr));}}@media all and (max-width: 767px){.kb-row-layout-id334_812b52-1f > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id334_812b52-1f alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column334_31a104-95 > .kt-inside-inner-col{display:flex;}.kadence-column334_31a104-95 > .kt-inside-inner-col,.kadence-column334_31a104-95 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column334_31a104-95 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column334_31a104-95 > .kt-inside-inner-col{flex-direction:column;justify-content:flex-start;}.kadence-column334_31a104-95 > .kt-inside-inner-col > .aligncenter{width:100%;}.kt-row-column-wrap > .kadence-column334_31a104-95{align-self:flex-start;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column334_31a104-95{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column334_31a104-95 > .kt-inside-inner-col{flex-direction:column;justify-content:flex-start;}.kadence-column334_31a104-95 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column334_31a104-95{position:relative;}@media all and (max-width: 1024px){.kt-row-column-wrap > .kadence-column334_31a104-95{align-self:flex-start;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column334_31a104-95{align-self:auto;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column334_31a104-95 > .kt-inside-inner-col{flex-direction:column;justify-content:flex-start;}}@media all and (max-width: 1024px){.kadence-column334_31a104-95 > .kt-inside-inner-col{flex-direction:column;justify-content:flex-start;}}@media all and (max-width: 767px){.kt-row-column-wrap > .kadence-column334_31a104-95{align-self:flex-start;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column334_31a104-95{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column334_31a104-95 > .kt-inside-inner-col{flex-direction:column;justify-content:flex-start;}.kadence-column334_31a104-95 > .kt-inside-inner-col{flex-direction:column;justify-content:flex-start;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column334_31a104-95\"><div class=\"kt-inside-inner-col\">\n<h4 id=\"we-offer-free-vein-screenings-at-any-of-our-conveniently-located-offices\" class=\"wp-block-heading\">Ofrecemos ex\u00e1menes de venas gratuitos en cualquiera de nuestras oficinas convenientemente ubicadas.<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Especialistas expertos en el cuidado de las venas<\/li>\n\n\n\n<li>La mayor\u00eda de los tratamientos est\u00e1n cubiertos por el seguro.<\/li>\n\n\n\n<li>Atenci\u00f3n y seguimiento personalizado<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Para reservar su cita para el an\u00e1lisis de venas, complete este formulario y nos pondremos en contacto con usted en breve.<\/p>\n<\/div><\/div>\n\n\n<style>.kadence-column334_981e86-dd > .kt-inside-inner-col,.kadence-column334_981e86-dd > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column334_981e86-dd > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column334_981e86-dd > .kt-inside-inner-col{flex-direction:column;}.kadence-column334_981e86-dd > .kt-inside-inner-col > 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Este formulario y cualquier correo electronico o mensaje de texto posterior no deben usarse para transmitir informacion de salud privada, y renunciamos a todas las garantias con respecto a la privacidad y confidencialidad de cualquier informacion enviada a traves de este formulario.\",\"type\":\"control_text\"},null,{\"description\":\"\",\"name\":\"firstName\",\"qid\":\"8\",\"subLabel\":\"\",\"text\":\"Primer Nombre\",\"type\":\"control_textbox\"},{\"description\":\"\",\"name\":\"lastName\",\"qid\":\"9\",\"subLabel\":\"\",\"text\":\"Apellido\",\"type\":\"control_textbox\"},{\"description\":\"\",\"name\":\"email\",\"qid\":\"10\",\"subLabel\":\"\",\"text\":\"Correo Electronico\",\"type\":\"control_email\"},null,{\"description\":\"\",\"name\":\"phoneNumber\",\"qid\":\"12\",\"text\":\"Numero de Telefono\",\"type\":\"control_phone\"},{\"description\":\"\",\"name\":\"haveYou\",\"qid\":\"13\",\"subLabel\":\"\",\"text\":\"Ha programado una cita con nosotros anteriormente?\",\"type\":\"control_dropdown\"},{\"description\":\"\",\"name\":\"isNewText\",\"qid\":\"14\",\"subLabel\":\"\",\"text\":\"LIINE IS NEW\",\"type\":\"control_textbox\"},null,null,null,null,null,null,null,null,null,null,null,{\"description\":\"\",\"name\":\"chooseYour\",\"qid\":\"26\",\"subLabel\":\"\",\"text\":\"Ubicacion preferida\",\"type\":\"control_dropdown\"},null,null,{\"name\":\"typeA\",\"qid\":\"29\",\"text\":\"Get Page URL\",\"type\":\"control_widget\"},null,null,null,{\"description\":\"\",\"name\":\"liineRedirect\",\"qid\":\"33\",\"subLabel\":\"\",\"text\":\"LIINE REDIRECT\",\"type\":\"control_textbox\"},{\"description\":\"\",\"name\":\"preferredLanguage\",\"qid\":\"34\",\"subLabel\":\"\",\"text\":\"Idioma de preferencia\",\"type\":\"control_dropdown\"},null,{\"description\":\"\",\"name\":\"liineLocation\",\"qid\":\"36\",\"subLabel\":\"\",\"text\":\"LIINE LOCATION\",\"type\":\"control_textbox\"},{\"description\":\"\",\"mde\":\"No\",\"name\":\"message\",\"qid\":\"37\",\"subLabel\":\"\",\"text\":\"Mensaje\",\"type\":\"control_textarea\",\"wysiwyg\":\"Disable\"},null,{\"description\":\"\",\"name\":\"phoneCondition\",\"qid\":\"39\",\"subLabel\":\"\",\"text\":\"Phone Condition\",\"type\":\"control_textbox\"},{\"name\":\"input40\",\"qid\":\"40\",\"text\":\"\u00a1Ups! Parece que el numero de telefono que ingresaste no es valido. Por favor, ingresa un numero de telefono valido para poder enviar.\",\"type\":\"control_text\"}]);}, 20); \n<\/script>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/forms.liine.com\/stylebuilder\/static\/form-common.css?v=9dbf444\"\/>\n<style type=\"text\/css\">@media print{*{-webkit-print-color-adjust: exact !important;color-adjust: exact !important;}.form-section{display:inline!important}.form-pagebreak{display:none!important}.form-section-closed{height:auto!important}.page-section{position:initial!important}}<\/style>\n<link id=\"custom-font\" type=\"text\/css\" rel=\"stylesheet\" href=\"\/\/cdn.jotfor.ms\/fonts\/?family=Roboto|Inter\" \/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/forms.liine.com\/themes\/CSS\/5e6b428acc8c4e222d1beb91.css?v=3.3.68859&#038;themeRevisionID=5eb3b4ae85bd2e1e2966db96\"\/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"\/s\/static\/1e57cd159eb\/css\/styles\/payment\/payment_styles.css?3.3.68859\" \/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"\/s\/static\/1e57cd159eb\/css\/styles\/payment\/payment_feature.css?3.3.68859\" \/>\n<style type=\"text\/css\" id=\"form-designer-style\">\n    \/* Injected CSS Code *\/\n\n\/* Begining of advanced designer *\/\n\/*PREFERENCES STYLE*\/\n\/*  1 - Preferences style *\/\n\/*  1 - FONT FAMILY *\/\n.form-all {\n  font-family: \"Roboto\", sans-serif;\n}\n\/* 2 - FORM WIDTH *\/\n.form-all {\n  max-width: 750px;\n}\n\/* 5 - FONT SIZE *\/\n.form-all {\n  font-size: 15px;\n}\n\/* 5 - input bg color *\/\n.form-textbox,\n.form-textarea,\n.form-radio-other-input,\n.form-checkbox-other-input,\n.form-captcha input,\n.form-spinner input {\n  background-color: #ffffff;\n}\n\/* 10 - LINE SPACING *\/\n.form-line {\n  margin-top: 4px;\n  margin-bottom: 4px;\n}\n.supernova .form-all,\n.form-all {\n  background-color: rgba(195, 202, 216, 0.3);\n}\n.supernova {\n  background-color: rgba(255, 255, 255, 0);\n}\n.supernova body {\n  background-color: transparent;\n}\n.form-all,\n.form-label-top,\n.form-label-left,\n.form-label-right,\n.form-html,\n.form-checkbox-item label,\n.form-radio-item label,\nspan.FITB .qb-checkbox-label,\nspan.FITB .qb-radiobox-label,\nspan.FITB .form-radio label,\nspan.FITB .form-checkbox label,\n[data-blotid][data-type=checkbox] [data-labelid],\n[data-blotid][data-type=radiobox] [data-labelid],\nspan.FITB-inptCont[data-type=checkbox] label,\nspan.FITB-inptCont[data-type=radiobox] label,\n.form-sub-label {\n  color: #000000;\n}\n\/*PREFERENCES STYLE*\/\n\/* 17 - INPUT WIDTHS *\/\n\/*  20 - FORM PADDING *\/\nul.form-section {\n  padding: 0px 38px;\n}\n.form-textbox:not(#productSearch-input),\n.form-textarea,\nli[data-type=control_fileupload] .qq-upload-button,\n.signature-wrapper {\n  border-color: #bebebe;\n  color: #000000;\n}\n.form-textarea:hover,\n.form-textbox:hover,\nli[data-type=control_fileupload] .qq-upload-button:hover,\n.signature-wrapper:hover {\n  border-color: rgba(190, 190, 190, 0.5);\n  box-shadow: 0 0 0 2px rgba(190, 190, 190, 0.25);\n}\n.form-textarea:focus,\n.form-textbox:focus,\nli[data-type=control_fileupload] .qq-upload-button:focus,\n.signature-wrapper:focus {\n  border-color: #bebebe;\n  box-shadow: 0 0 0 3px rgba(190, 190, 190, 0.25);\n}\n\/* Heights *\/\n.form-textbox {\n  height: 40px;\n}\n.form-textarea {\n  height: 105px !important;\n}\nli[data-type=\"control_textbox\"] div[data-layout=\"half\"],\nli[data-type=\"control_dropdown\"] div[data-layout=\"half\"],\nli[data-type=\"control_email\"] div[data-layout=\"half\"],\nli[data-type=\"control_number\"] div[data-layout=\"half\"],\nli[data-type=\"control_phone\"] div[data-layout=\"half\"],\nli[data-type=\"control_datetime\"] div[data-layout=\"half\"] {\n  width: 100% !important;\n  max-width: 662px;\n}\nli[data-type=\"control_textarea\"] div[data-layout=\"full\"],\nli[data-type=\"control_fullname\"] div[data-layout=\"full\"],\nli[data-type=\"control_matrix\"] div[data-layout=\"full\"],\nli[data-type=\"control_address\"] div[data-layout=\"full\"],\nli[data-type=\"control_fileupload\"] div[data-layout=\"full\"],\nli[data-type=\"control_appointment\"] div[data-layout=\"full\"] {\n  width: 100% !important;\n  max-width: 662px;\n}\n.form-label {\n  margin-bottom: 6px;\n  margin-right: 0;\n}\n\/* 11 - LINE PADDING *\/\n.form-line {\n  padding: 3px 3px;\n}\n\/* LABEL STYLE *\/\n.form-dropdown:first-child {\n  border-width: 1px;\n  border-color: #bebebe;\n  color: #000000;\n  background-color: #ffffff;\n  height: 40px;\n}\n[data-type=\"control_dropdown\"] .form-input,\n[data-type=\"control_birthdate\"] .form-input,\n[data-type=\"control_time\"] .form-input,\n[data-type=\"control_dropdown\"] .form-input-wide,\n[data-type=\"control_birthdate\"] .form-input-wide,\n[data-type=\"control_time\"] .form-input-wide {\n  width: 100% !important;\n  max-width: 900px;\n}\n[data-type=\"control_dropdown\"] .form-dropdown {\n  width: 100% !important;\n  max-width: 900px;\n}\n\/* 12 - ROUNDED INPUTS *\/\n.form-textbox:not(#productSearch-input),\n.form-radio-other-input,\n.form-checkbox-other-input,\n.form-captcha input,\n.form-spinner input,\n.form-pagebreak-back,\n.form-pagebreak-next,\n.qq-upload-button,\n.signature-wrapper,\n.form-error-message {\n  border-radius: 6px;\n}\n.form-textarea {\n  border-radius: 6px;\n  padding: 10px;\n}\n.form-dropdown {\n  border-radius: 6px;\n  appearance: none;\n  margin: 0;\n}\n.form-radio-item,\n.form-checkbox-item {\n  padding-bottom: 0px;\n}\n.form-radio-item:last-child,\n.form-checkbox-item:last-child {\n  padding-bottom: 0;\n}\n.form-checkbox + label,\n.form-checkbox + span,\n.form-radio + label,\n.form-radio + span {\n  padding-left: 30px;\n}\n.form-single-column .form-checkbox-item,\n.form-single-column .form-radio-item {\n  width: 100%;\n}\n.form-checkbox-item .editor-container div,\n.form-radio-item .editor-container div {\n  position: relative;\n}\n.form-checkbox-item .editor-container div:before,\n.form-radio-item .editor-container div:before {\n  display: inline-block;\n  vertical-align: middle;\n  left: 0;\n  width: 20px;\n  height: 20px;\n}\n.form-checkbox-item input,\n.form-radio-item input {\n  margin-top: 2px;\n}\n.form-checkbox:checked + label:before,\n.form-checkbox:checked + span:before {\n  background-color: #2e69ff;\n  border-color: #2e69ff;\n}\n.form-radio:checked + label:before,\n.form-radio:checked + span:before {\n  border-color: #2e69ff;\n}\n.form-radio:checked + label:after,\n.form-radio:checked + span:after {\n  background-color: #2e69ff;\n}\n.form-checkbox:hover + label:before,\n.form-checkbox:hover + span:before,\n.form-radio:hover + label:before,\n.form-radio:hover + span:before {\n  border-color: rgba(46, 105, 255, 0.5);\n  box-shadow: 0 0 0 2px rgba(46, 105, 255, 0.25);\n}\n.form-checkbox:focus + label:before,\n.form-checkbox:focus + span:before,\n.form-radio:focus + label:before,\n.form-radio:focus + span:before {\n  border-color: #2e69ff;\n  box-shadow: 0 0 0 3px rgba(46, 105, 255, 0.25);\n}\n.submit-button {\n  font-size: 16px;\n  font-weight: bold;\n  font-family: inherit;\n  height: 45px;\n  width: 750px;\n  border: none;\n  border-width: 1px;\n  border-style: solid;\n  border-color: #ef662f;\n}\n.submit-button {\n  font-family: \"Inter\", sans-serif;\n}\n.submit-button {\n  min-width: 180px;\n}\nli[data-type=\"control_button\"] .form-submit-button {\n  color: #ffffff;\n  background-color: #ef662f;\n  background-image: none;\n  box-shadow: none;\n  text-shadow: none;\n}\nli[data-type=\"control_button\"] .form-submit-button:hover {\n  background-color: #ab3a0d;\n}\nli[data-type=\"control_button\"] button.jf-form-buttons.form-sacl-button,\nli[data-type=\"control_button\"] button.jf-form-buttons.form-submit-print {\n  color: #ef662f;\n  border-color: #ef662f;\n  background-image: none;\n  background-color: #fff;\n}\nli[data-type=\"control_button\"] button.jf-form-buttons.form-sacl-button:hover,\nli[data-type=\"control_button\"] button.jf-form-buttons.form-submit-print:hover {\n  background-color: #ab3a0d;\n  color: #fff;\n}\nli[data-type=\"control_button\"] button.jf-form-buttons.form-pagebreak-back {\n  background-image: none;\n  background-color: #ab3a0d;\n  box-shadow: none;\n  text-shadow: none;\n}\nli[data-type=\"control_button\"] button.jf-form-buttons.form-pagebreak-back:hover {\n  background-color: #7c2a09;\n  color: #fff;\n}\n.form-submit-button,\n.form-submit-reset,\n.form-submit-print {\n  border-radius: 100px;\n}\n.form-all .form-pagebreak-back,\n.form-all .form-pagebreak-next {\n  font-family: \"Roboto\", sans-serif;\n  font-size: 15px;\n  font-weight: normal;\n}\n.form-all .form-pagebreak-back,\n.form-all .form-pagebreak-next {\n  min-width: 128px;\n}\nli[data-type=\"control_image\"] div {\n  text-align: left;\n}\nli[data-type=\"control_image\"] img {\n  border: none;\n  border-width: 0px !important;\n  border-style: solid !important;\n  border-color: false !important;\n}\n.supernova {\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n  background-attachment: fixed;\n  background-size: auto;\n  background-size: cover;\n}\n.supernova {\n  background-image: none;\n}\n#stage {\n  background-image: none;\n}\n\/* | *\/\n.form-all {\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n  background-size: cover;\n}\n.form-header-group {\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n}\n.header-large h1.form-header {\n  font-size: 2em;\n}\n.header-large h2.form-header {\n  font-size: 1.5em;\n}\n.header-large h3.form-header {\n  font-size: 1.17em;\n}\n.header-large h1 + .form-subHeader {\n  font-size: 1em;\n}\n.header-large h2 + .form-subHeader {\n  font-size: .875em;\n}\n.header-large h3 + .form-subHeader {\n  font-size: .75em;\n}\n.header-default h1.form-header {\n  font-size: 2em;\n}\n.header-default h2.form-header {\n  font-size: 1.5em;\n}\n.header-default h3.form-header {\n  font-size: 1.17em;\n}\n.header-default h1 + .form-subHeader {\n  font-size: 1em;\n}\n.header-default h2 + .form-subHeader {\n  font-size: .875em;\n}\n.header-default h3 + .form-subHeader {\n  font-size: .75em;\n}\n.header-small h1.form-header {\n  font-size: 2em;\n}\n.header-small h2.form-header {\n  font-size: 1.5em;\n}\n.header-small h3.form-header {\n  font-size: 1.17em;\n}\n.header-small h1 + .form-subHeader {\n  font-size: 1em;\n}\n.header-small h2 + .form-subHeader {\n  font-size: .875em;\n}\n.header-small h3 + .form-subHeader {\n  font-size: .75em;\n}\n.form-header-group {\n  text-align: left;\n}\ndiv.form-header-group.header-large,\ndiv.form-header-group.hasImage {\n  margin: 0px -38px;\n}\ndiv.form-header-group.header-large,\ndiv.form-header-group.hasImage {\n  padding: 40px 52px;\n}\n.form-header-group .form-header,\n.form-header-group .form-subHeader {\n  color: -1;\n}\n.form-line-error {\n  background-color: rgba(195, 202, 216, 0.3);\n  box-shadow: inset 0px 3px 11px -7px rgba(255, 255, 255, 0);\n}\n.form-line-error input:not(#coupon-input),\n.form-line-error textarea,\n.form-line-error .form-validation-error {\n  -webkit-transition-property: none;\n  -moz-transition-property: none;\n  -ms-transition-property: none;\n  -o-transition-property: none;\n  transition-property: none;\n  -webkit-transition-duration: 0.3s;\n  -moz-transition-duration: 0.3s;\n  -ms-transition-duration: 0.3s;\n  -o-transition-duration: 0.3s;\n  transition-duration: 0.3s;\n  -webkit-transition-timing-function: ease;\n  -moz-transition-timing-function: ease;\n  -ms-transition-timing-function: ease;\n  -o-transition-timing-function: ease;\n  transition-timing-function: ease;\n  border: 1px solid rgba(255, 255, 255, 0);\n  box-shadow: 0 0 3px rgba(255, 255, 255, 0);\n}\n.form-line-error .form-error-message {\n  margin: 0;\n  position: absolute;\n  color: #fff;\n  display: inline-block;\n  right: 0;\n  font-size: 12px;\n  position: absolute!important;\n  box-shadow: none;\n  top: 0px;\n  color: #FFF;\n  background: rgba(255, 255, 255, 0);\n  padding: 0px 5px;\n  bottom: auto;\n  border-radius: 0;\n  box-shadow: 0px 2px 4px rgba(102, 102, 102, 0.5);\n}\n.form-line-error .form-error-message img,\n.form-line-error .form-error-message .form-error-arrow {\n  display: none;\n}\n.form-line-error {\n  -webkit-transition-property: none;\n  -moz-transition-property: none;\n  -ms-transition-property: none;\n  -o-transition-property: none;\n  transition-property: none;\n  -webkit-transition-duration: 0.3s;\n  -moz-transition-duration: 0.3s;\n  -ms-transition-duration: 0.3s;\n  -o-transition-duration: 0.3s;\n  transition-duration: 0.3s;\n  -webkit-transition-timing-function: ease;\n  -moz-transition-timing-function: ease;\n  -ms-transition-timing-function: ease;\n  -o-transition-timing-function: ease;\n  transition-timing-function: ease;\n  background-color: rgba(255, 255, 255, 0);\n}\n.form-line-active {\n  background-color: rgba(255, 255, 255, 0);\n}\n\/* 29 - FORM COLUMNS *\/\n.form-line-column {\n  width: calc(100\/2 * 1% - 8px);\n}\n\n\/*__INSPECT_SEPERATOR__*\/\n.form-buttons-wrapper {\n    border-top : 0;\n    margin-bottom : -20px;\n}\n\n.form-all {\n    box-shadow : none !important;\n}\n\n.error-navigation-container {\n    display : none;\n}\n\n.form-error-message {\n    display : none;\n}\n\n.form-required {\n    display : none !important;\n}\n\n.form-label {\n    color : #515459 !important;\n}\n\n.form-validation-error {\n    border : 1px solid #bebebe !important;\n}\n\n.form-error-message {\n    background-color : #ef662f !important;\n}\n\n.supernova .form-all, .form-all {\n    margin-top : 0px !important;\n}\n\n\n    \/* Injected CSS Code *\/\n<\/style>\n\n<form class=\"jotform-form\" onsubmit=\"return typeof testSubmitFunction !== 'undefined' &#038;&#038; testSubmitFunction();\" action=\"https:\/\/forms.liine.com\/submit\/243654162856968\" method=\"post\" name=\"form_243654162856968\" id=\"243654162856968\" accept-charset=\"utf-8\" autocomplete=\"on\"><input type=\"hidden\" name=\"formID\" value=\"243654162856968\" \/><input type=\"hidden\" id=\"JWTContainer\" value=\"\" \/><input type=\"hidden\" id=\"cardinalOrderNumber\" value=\"\" \/><input type=\"hidden\" id=\"jsExecutionTracker\" name=\"jsExecutionTracker\" value=\"build-date-1770755745232\" \/><input type=\"hidden\" id=\"submitSource\" name=\"submitSource\" value=\"unknown\" \/><input type=\"hidden\" id=\"submitDate\" name=\"submitDate\" value=\"undefined\" \/><input type=\"hidden\" id=\"buildDate\" name=\"buildDate\" value=\"1770755745232\" \/><input type=\"hidden\" name=\"uploadServerUrl\" value=\"https:\/\/upload.jotform.com\/upload\" \/><input type=\"hidden\" name=\"eventObserver\" value=\"1\" \/>\n  <div role=\"main\" class=\"form-all\">\n    <ul class=\"form-section page-section\" role=\"presentation\">\n      <li class=\"form-line\" data-type=\"control_widget\" id=\"id_5\">\n        <div id=\"cid_5\" class=\"form-input\" data-layout=\"full\">\n          <div data-widget-name=\"Liine GUID Injector\" style=\"width:100%;text-align:Left;overflow-x:auto\" data-component=\"widget-field\"><iframe data-client-id=\"ef8be44c2da136d2f81e916e\" data-unique-id=\"\" title=\"Inyector de GUID de l\u00ednea\" frameborder=\"0\" scrolling=\"no\" allowtransparency=\"true\" allow=\"geolocation; microphone; camera; autoplay; encrypted-media; fullscreen\" data-type=\"iframe\" class=\"custom-field-frame\" data-widget-slug=\"\" id=\"customFieldFrame_5\" src=\"\" style=\"max-width:1px;border:none;width:100%;height:1px\" data-width=\"1\" data-height=\"1\"><\/iframe>\n            <div class=\"widget-inputs-wrapper\"><input id=\"input_5\" class=\"form-hidden form-widget\" type=\"hidden\" name=\"q5_typeA5\" value=\"\" \/><input id=\"widget_settings_5\" class=\"form-hidden form-widget-settings\" type=\"hidden\" data-version=\"2\" value=\"%5B%5D\" \/><\/div>\n            <script type=\"text\/javascript\">\n              setTimeout(function()\n              {\n                function renderWidget()\n                {\n                  var _cFieldFrame = document.getElementById(\"customFieldFrame_5\");\n                  if (_cFieldFrame)\n                  {\n                    _cFieldFrame.onload = function()\n                    {\n                      if (typeof widgetFrameLoaded !== 'undefined')\n                      {\n                        widgetFrameLoaded(5,\n                        {\n                          \"formID\": 243654162856968\n                        }, undefined,\n                        {})\n                      }\n                    };\n                    _cFieldFrame.src = \"\/\/analytics.liine.com\/v1\/jotform_widget.html?qid=5&isOpenedInPortal=undefined&isOpenedInAgent=undefined&align=Left&ref=\" +\n                      encodeURIComponent(window.location.protocol + \"\/\/\" + window.location.host) + '' + '' + '' +\n                      '&injectCSS=' + encodeURIComponent(window.location.search.indexOf(\"ndt=1\") > -1);\n                    _cFieldFrame.addClassName(\"custom-field-frame-rendered\");\n                  }\n                }\n                if (false)\n                {\n                  var _interval = setInterval(function()\n                  {\n                    var dataMode = document.querySelector('html').getAttribute('data-mode');\n                    if (dataMode === 'fillMode')\n                    {\n                      renderWidget()\n                      clearInterval(_interval);\n                    }\n                  }, 1000);\n                }\n                else\n                {\n                  renderWidget();\n                }\n              }, 0);\n            <\/script>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column form-col-1 jf-required\" data-type=\"control_textbox\" id=\"id_8\"><label class=\"form-label form-label-top\" id=\"label_8\" for=\"input_8\" aria-hidden=\"false\"> Primer nombre<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_8\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_8\" name=\"q8_firstName\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_8\" aria-describedby=\"input_8-description\" required=\"\" value=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column form-col-2 jf-required\" data-type=\"control_textbox\" id=\"id_9\"><label class=\"form-label form-label-top\" id=\"label_9\" for=\"input_9\" aria-hidden=\"false\"> Apellido<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_9\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_9\" name=\"q9_lastName\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_9\" aria-describedby=\"input_9-description\" required=\"\" value=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column form-col-3 jf-required\" data-type=\"control_email\" id=\"id_10\"><label class=\"form-label form-label-top\" id=\"label_10\" for=\"input_10\" aria-hidden=\"false\"> Correo Electr\u00f3nico<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_10\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"email\" id=\"input_10\" name=\"q10_email\" class=\"form-textbox validate[required, Email]\" data-defaultvalue=\"\" autocomplete=\"section-input_10 email\" style=\"width:310px\" size=\"310\" data-component=\"email\" aria-labelledby=\"label_10\" aria-describedby=\"input_10-description\" required=\"\" value=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column form-col-4 jf-required\" data-type=\"control_phone\" id=\"id_12\"><label class=\"form-label form-label-top\" id=\"label_12\" for=\"input_12_full\"> N\u00famero de Tel\u00e9fono<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_12\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" id=\"input_12_full\" name=\"q12_phoneNumber[full]\" data-type=\"mask-number\" class=\"mask-phone-number form-textbox validate[required, Fill Mask]\" data-defaultvalue=\"\" autocomplete=\"section-input_12 tel-national\" style=\"width:310px\" data-masked=\"true\" placeholder=\"(000) 000-0000\" data-component=\"phone\" aria-labelledby=\"label_12\" aria-describedby=\"input_12-description\" required=\"\" value=\"\" \/><\/span> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_dropdown\" id=\"id_26\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_26\" for=\"input_26\" aria-hidden=\"false\"> Ubicaci\u00f3n preferida<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_26\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <select class=\"form-dropdown validate[required]\" id=\"input_26\" name=\"q26_chooseYour\" style=\"width:310px\" data-component=\"dropdown\" required=\"\" aria-label=\"Ubicaci\u00f3n preferida\">\n            <option value=\"\">Por favor seleccione<\/option>\n            <option data-calcvalue=\"Riverside, CA\" value=\"Riverside\">Orilla<\/option>\n            <option data-calcvalue=\"Ontario, CA\" value=\"Ontario\">ontario<\/option>\n            <option data-calcvalue=\"Victorville, CA\" value=\"Victorville\">Victorville<\/option>\n            <option data-calcvalue=\"Rancho Mirage, CA\" value=\"Rancho Mirage\">Rancho Espejismo<\/option>\n            <option data-calcvalue=\"Palm Springs, CA\" value=\"Palm Springs\">Palm Springs<\/option>\n            <option data-calcvalue=\"La Quinta, CA\" value=\"La Quinta\">la quinta<\/option>\n          <\/select> <\/div>\n      <\/li>\n      <li class=\"form-line always-hidden\" data-type=\"control_textbox\" id=\"id_36\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_36\" for=\"input_36\" aria-hidden=\"false\"> UBICACI\u00d3N DE LA L\u00cdNEA <\/label>\n        <div id=\"cid_36\" class=\"form-input-wide always-hidden\" data-layout=\"half\"> <input type=\"text\" id=\"input_36\" name=\"q36_liineLocation\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_36\" aria-describedby=\"input_36-description\" value=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line always-hidden\" data-type=\"control_dropdown\" id=\"id_13\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_13\" for=\"input_13\" aria-hidden=\"false\"> \u00bfHa programado una cita con nosotros anteriormente? <\/label>\n        <div id=\"cid_13\" class=\"form-input-wide always-hidden\" data-layout=\"half\"> <select class=\"form-dropdown\" id=\"input_13\" name=\"q13_haveYou\" style=\"width:310px\" data-component=\"dropdown\" aria-label=\"\u00bfHa programado una cita con nosotros anteriormente?\">\n            <option value=\"\">Por favor seleccione<\/option>\n            <option data-calcvalue=\"false\" value=\"S\u00ed - Soy una paciente existente.\">S\u00ed \u2013 Soy un paciente existente.<\/option>\n            <option data-calcvalue=\"true\" value=\"No - Soy un paciente nuevo.\">No \u2013 Soy un paciente nuevo.<\/option>\n          <\/select> <\/div>\n      <\/li>\n      <li class=\"form-line always-hidden\" data-type=\"control_textbox\" id=\"id_14\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_14\" for=\"input_14\" aria-hidden=\"false\"> LIINE ES NUEVO <\/label>\n        <div id=\"cid_14\" class=\"form-input-wide always-hidden\" data-layout=\"half\"> <input type=\"text\" id=\"input_14\" name=\"q14_isNewText\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_14\" aria-describedby=\"input_14-description\" value=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line always-hidden\" data-type=\"control_dropdown\" id=\"id_34\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_34\" for=\"input_34\" aria-hidden=\"false\"> Idioma de preferencia <\/label>\n        <div id=\"cid_34\" class=\"form-input-wide always-hidden\" data-layout=\"half\"> <select class=\"form-dropdown\" id=\"input_34\" name=\"q34_preferredLanguage\" style=\"width:310px\" data-component=\"dropdown\" aria-label=\"Idioma de preferencia\">\n            <option value=\"\">Por favor seleccione<\/option>\n            <option value=\"Espa\u00f1ol\" selected=\"\">Espa\u00f1ol<\/option>\n            <option value=\"Ingl\u00e9s\">Ingl\u00e9s<\/option>\n          <\/select> <\/div>\n      <\/li>\n      <li class=\"form-line always-hidden\" data-type=\"control_textbox\" id=\"id_33\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_33\" for=\"input_33\" aria-hidden=\"false\"> REDIRECCI\u00d3N DE L\u00cdNEA <\/label>\n        <div id=\"cid_33\" class=\"form-input-wide always-hidden\" data-layout=\"half\"> <input type=\"text\" id=\"input_33\" name=\"q33_liineRedirect\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_33\" aria-describedby=\"input_33-description\" value=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_37\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_37\" for=\"input_37\" aria-hidden=\"false\"> Mensaje <\/label>\n        <div id=\"cid_37\" class=\"form-input-wide\" data-layout=\"full\"> <textarea id=\"input_37\" class=\"form-textarea\" name=\"q37_message\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_37\"><\/textarea> <\/div>\n      <\/li>\n      <li class=\"form-line always-hidden\" data-type=\"control_textbox\" id=\"id_39\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_39\" for=\"input_39\" aria-hidden=\"false\"> Estado del tel\u00e9fono <\/label>\n        <div id=\"cid_39\" class=\"form-input-wide always-hidden\" data-layout=\"half\"> <input type=\"text\" id=\"input_39\" name=\"q39_phoneCondition\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_39\" aria-describedby=\"input_39-description\" value=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line always-hidden form-field-hidden\" style=\"display:none;\" data-type=\"control_text\" id=\"id_40\">\n        <div id=\"cid_40\" class=\"form-input-wide always-hidden\" data-layout=\"full\">\n          <div id=\"text_40\" class=\"form-html\" data-component=\"text\" tabindex=\"-1\">\n            <p><span style=\"color: #bb271a; font-size: 12pt;\"><strong>\u00a1Uni\u00f3n Postal Universal! Parece que el n\u00famero de tel\u00e9fono que ingresas no es v\u00e1lido. Por favor, ingresa un n\u00famero de tel\u00e9fono v\u00e1lido para poder enviar.<\/strong><\/span><\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_button\" id=\"id_2\">\n        <div id=\"cid_2\" class=\"form-input-wide\" data-layout=\"full\">\n          <div data-align=\"auto\" class=\"form-buttons-wrapper form-buttons-auto   jsTest-button-wrapperField\"><button id=\"input_2\" type=\"submit\" class=\"form-submit-button submit-button jf-form-buttons jsTest-submitField legacy-submit\" data-component=\"button\" data-content=\"\">Entregar<\/button><\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_text\" id=\"id_6\">\n        <div id=\"cid_6\" class=\"form-input-wide\" data-layout=\"full\">\n          <div id=\"text_6\" class=\"form-html\" data-component=\"text\" tabindex=\"-1\">\n            <p>Al enviar este formulario, acepta que lo contactemos por tel\u00e9fono, correo electr\u00f3nico o mensaje de texto y que cualquier llamada asociada pueda grabarse con fines de calidad y capacitaci\u00f3n. Este formulario y cualquier correo electr\u00f3nico o mensaje de texto posterior no deben usarse para transmitir informaci\u00f3n de salud privada, y renunciamos a todas las garant\u00edas con respecto a la privacidad y confidencialidad de cualquier informaci\u00f3n enviada a trav\u00e9s de este formulario.<\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line always-hidden\" data-type=\"control_widget\" id=\"id_29\">\n        <div id=\"cid_29\" class=\"form-input always-hidden\" data-layout=\"full\">\n          <div style=\"width:100%;text-align:Left\" data-component=\"widget-directEmbed\">\n            <div class=\"direct-embed-widgets get-form-page-url-widget\" data-type=\"direct-embed\" style=\"width:1px;min-height:50px\"><input type='hidden' id='input_29' name='q29_typeA' class='form-hidden getParentURL'>\n              <script type='text\/javascript' src='\/\/widgets.jotform.io\/getParentUrl\/min\/scripts.min.js'><\/script>\n            <\/div>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li style=\"display:none\">Debe estar vac\u00edo: <input type=\"text\" name=\"website\" value=\"\" \/><\/li>\n    <\/ul>\n  <\/div>\n  <script>\n    JotForm.showJotFormPowered = \"0\";\n  <\/script>\n  <script>\n    JotForm.poweredByText = \"Powered by Jotform\";\n  <\/script>\n  <script>\n    JotForm.hipaa = true;\n  <\/script><input type=\"hidden\" class=\"simple_spc\" id=\"simple_spc\" name=\"simple_spc\" value=\"243654162856968\" \/>\n  <script type=\"text\/javascript\">\n    var all_spc = document.querySelectorAll(\"form[id='243654162856968'] .si\" + \"mple\" + \"_spc\");\n    for (var i = 0; i < all_spc.length; i++)\n    {\n      all_spc[i].value = \"243654162856968-243654162856968\";\n    }\n  <\/script>\n<\/form><script type=\"text\/javascript\">JotForm.ownerView=true;<\/script><script type=\"text\/javascript\">JotForm.isNewSACL=true;<\/script>\n<\/div><\/div>\n\n<\/div><\/div>\n\n\n<style>\n.page-template-page-book-online .form-section .form-line label {\nposition: relative;\ntop: 0;\n}\n.page-template-page-book-online .form-section .form-line label {\npointer-events: unset;\n}\n\n\/** Ignite AB**\/\nbody .jotform-form .form-heading {\n    width: 100%;\n    font-family: 'Roboto';\n    font-size: 24px;\n    color: #515459;\n    text-align: center;\n    margin-bottom: 20px !important;\n}\n\nbody.page-template-page-book-online .form-section .form-line {\n    padding: 10px 0 0 0;\n}\n\nbody .form-section .form-buttons-wrapper {\n    margin: 0;\n    padding: 15px 0 0;\n}\n\nbody .form-section button[type=\"submit\"] {\n    width: 100% !important;\n    font-size: 18px !important;\n    height: 45px !important;\n}\nbody.page-template-page-book-online .form-section .form-line label {\n    margin-bottom: 0px;\n    font-size: 14px;\n}\n\nbody.page-template-page-book-online .form-section .form-line:has(.form-checkbox) {\n    padding-top: 15px;\n}\nbody .form-all {\n    background-color: #E8E9EF;\n}\n\n@media (min-width: 992px) {\n    body.page-template-page-book-online .form-section {\n        padding: 40px 30px 20px;\n    }\n}\n\n@media (max-width: 991px) {\n    body .form-section button[type=\"submit\"] {\n        font-size: 16px !important;\n    }\n}\n\n@media (max-width: 480px) {\n    body.page-template-page-book-online .form-section .form-line:not(:has(.form-checkbox)) {\n        margin-bottom: 0;\n        flex-wrap: nowrap !important;\n        align-items: center !important;\n    }\n\n    body.page-template-page-book-online .form-section .form-line:not(:has(.form-checkbox)) label {\n        margin: 0;\n        text-align: right !important;\n        justify-content: end;\n        width: 100%;\n        max-width: 40%;\n        padding-right: 10px;\n    }\n\n    body.page-template-page-book-online .form-section .form-line {\n        margin: 0;\n        padding-top: 10px;\n    }\n\n    body .form-buttons-wrapper,\n    body .form-pagebreak {\n        padding: 10px;\n        margin: 0;\n    }\n\n    body.page-template-page-book-online .form-section {\n        padding: 20px 12px;\n    }\n\n    body .form-heading {\n        font-size: 20px;\n        margin-bottom: 10px !important;\n        padding-bottom: 0;\n    }\n\n    body.page-template-page-book-online .form-section #cid_37 textarea.form-textarea {\n        height: 80px !important;\n    }\n}\n\n@media (max-width: 399.98px) {\n    body.page-template-page-book-online .form-section .form-line:not(:has(.form-checkbox)) label {\n        max-width: 52%;\n    }\n}\n<\/style>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>We offer free vein screenings at any of our conveniently located offices. To book your vein screening, complete this form and we will contact you shortly. Primer Nombre* Apellido* Correo Electr\u00f3nico* N\u00famero de Tel\u00e9fono* Ubicaci\u00f3n preferida* Por favor seleccioneRiversideOntarioVictorvilleRancho MiragePalm SpringsLa Quinta LIINE LOCATION Ha programado una cita con nosotros anteriormente? Por favor seleccioneS\u00ed &#8211; [&hellip;]<\/p>","protected":false},"author":1,"featured_media":125849,"parent":0,"menu_order":48,"comment_status":"closed","ping_status":"closed","template":"page-templates\/page-book-online.php","meta":{"_acf_changed":false,"_gspb_post_css":"","footnotes":""},"class_list":["post-334","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Book a Vein Screening - Empire Vein &amp; Vascular Specialists<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/empirevein.com\/es\/libro-en-linea\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Book a Vein Screening - Empire Vein &amp; Vascular Specialists\" \/>\n<meta property=\"og:description\" content=\"We offer free vein screenings at any of our conveniently located offices. To book your vein screening, complete this form and we will contact you shortly. Primer Nombre* Apellido* Correo Electr\u00f3nico* N\u00famero de Tel\u00e9fono* Ubicaci\u00f3n preferida* Por favor seleccioneRiversideOntarioVictorvilleRancho MiragePalm SpringsLa Quinta LIINE LOCATION Ha programado una cita con nosotros anteriormente? 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