{"id":588,"date":"2025-07-08T22:14:27","date_gmt":"2025-07-09T01:14:27","guid":{"rendered":"https:\/\/guapimirim.rj.gov.br\/novosite\/?page_id=588"},"modified":"2025-07-08T23:17:24","modified_gmt":"2025-07-09T02:17:24","slug":"formulario-conferencia-de-saude","status":"publish","type":"page","link":"https:\/\/guapimirim.rj.gov.br\/novosite\/formulario-conferencia-de-saude\/","title":{"rendered":"Formul\u00e1rio Confer\u00eancia de Sa\u00fade"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"588\" class=\"elementor elementor-588\" data-elementor-settings=\"{&quot;ha_cmc_init_switcher&quot;:&quot;no&quot;}\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0a5768a e-flex e-con-boxed e-con e-parent\" data-id=\"0a5768a\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[],&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-126ef6c elementor-widget elementor-widget-jet-engine-booking-form\" data-id=\"126ef6c\" data-element_type=\"widget\" data-widget_type=\"jet-engine-booking-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<form  class=\"jet-form layout-column submit-type-reload\" action=\"\/novosite\/wp-json\/wp\/v2\/pages\/588?jet_engine_action=book&#038;nocache=1778860665\" method=\"POST\" data-form-id=\"590\"><input class=\"jet-form__field hidden-field\" type=\"hidden\" name=\"_jet_engine_booking_form_id\" value=\"590\" data-field-name=\"_jet_engine_booking_form_id\"><input class=\"jet-form__field hidden-field\" type=\"hidden\" name=\"_jet_engine_refer\" value=\"https:\/\/guapimirim.rj.gov.br\/novosite\/wp-json\/wp\/v2\/pages\/588\" data-field-name=\"_jet_engine_refer\"><div  class=\"jet-form-row jet-form-row--first-visible\"><div class=\"jet-form-col jet-form-col-12  field-type-text  jet-form-field-container\" data-field=\"nome\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Nome completo<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" required=\"required\" name=\"nome\" id=\"nome\" type=\"text\" data-field-name=\"nome\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"email\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Seu email<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field text-field \" required=\"required\" name=\"email\" id=\"email\" type=\"email\" data-field-name=\"email\"><\/div><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"cracha\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Seu nome para o crach\u00e1<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" required=\"required\" name=\"cracha\" id=\"cracha\" type=\"text\" data-field-name=\"cracha\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-4  field-type-text  jet-form-field-container\" data-field=\"telefone\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Seu telefone de contato<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field text-field jet-form__masked-field\" value=\"\" required=\"required\" name=\"telefone\" id=\"telefone\" type=\"tel\" data-field-name=\"telefone\" data-inputmask=\"'mask': '(99) 99999 9999'\" data-inputmask-clearmaskonlostfocus=\"false\"><\/div><div class=\"jet-form-col jet-form-col-4  field-type-date  jet-form-field-container\" data-field=\"nascimento\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Sua data de nascimento<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field date-field\" value=\"\" required=\"required\" name=\"nascimento\" type=\"date\" data-field-name=\"nascimento\" id=\"nascimento\"><\/div><div class=\"jet-form-col jet-form-col-4  field-type-text  jet-form-field-container\" data-field=\"genero\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Seu g\u00eanero<\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" name=\"genero\" id=\"genero\" type=\"text\" data-field-name=\"genero\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"endereco\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Seu endere\u00e7o completo<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" required=\"required\" name=\"endereco\" id=\"endereco\" type=\"text\" data-field-name=\"endereco\"><\/div><div class=\"jet-form-col jet-form-col-6  field-type-select  jet-form-field-container\" data-field=\"categoria\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Categoria de sua participa\u00e7\u00e3o<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><select  required=\"required\" name=\"categoria\" data-field-name=\"categoria\" id=\"categoria\" data-default-val=\"\" class=\"jet-form__field select-field\"><option value=\"Escolha\" >Escolha<\/option><option value=\"Participante com direito a voz e voto\" >Participante com direito a voz e voto<\/option><option value=\"Visitante com direito a voz\" >Visitante com direito a voz<\/option><\/select><small class=\"jet-form__desc\"><span class=\"jet-form__desc-text\">Nesta op\u00e7\u00e3o deve se inscrever como participante com direito a voz e voto apenas moradores ou trabalhadores do SUS de Guapimirim.<\/span><\/small><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"instituicao\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Institui\u00e7\u00e3o ou local de atua\u00e7\u00e3o<\/span>\n\t<\/div><input class=\"jet-form__field text-field \" value=\"\" name=\"instituicao\" id=\"instituicao\" type=\"text\" data-field-name=\"instituicao\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-radio  jet-form-field-container\" data-field=\"deficiencia\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Possui algum tipo de defici\u00eancia?<span class=\"jet-form__required\">*<\/span><\/span>\n\t<\/div><div class=\"jet-form__fields-group checkradio-wrap\">\t\t<div class=\"jet-form__field-wrap radio-wrap checkradio-wrap\">\n\t\t\t\t\t\t<label class=\"jet-form__field-label\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\tname=\"deficiencia\"\n\t\t\t\t\tclass=\"jet-form__field radio-field checkradio-field\"\n\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\tdata-field-name=\"deficiencia\"\n\t\t\t\t\t\t\t\t\t\trequired=\"required\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t>\n\t\t\t\tSim\t\t\t<\/label>\n\t\t<\/div>\n\t\t\t\t<div class=\"jet-form__field-wrap radio-wrap checkradio-wrap\">\n\t\t\t\t\t\t<label class=\"jet-form__field-label\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\tname=\"deficiencia\"\n\t\t\t\t\tclass=\"jet-form__field radio-field checkradio-field\"\n\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\tdata-field-name=\"deficiencia\"\n\t\t\t\t\t\t\t\t\t\trequired=\"required\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t>\n\t\t\t\tN\u00e3o\t\t\t<\/label>\n\t\t<\/div>\n\t\t<\/div><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"descreva-deficiencia\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;deficiencia&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;1&quot;,&quot;set_value&quot;:&quot;&quot;}]\"><input class=\"jet-form__field text-field \" placeholder=\"Descreva aqui sua defici\u00eancia\" value=\"\" required=\"required\" name=\"descreva-deficiencia\" id=\"descreva-deficiencia\" type=\"text\" data-field-name=\"descreva-deficiencia\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-radio  jet-form-field-container\" data-field=\"necessidade\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Possui alguma necessidade especial para participa\u00e7\u00e3o no evento? Descreva:<\/span>\n\t<\/div><div class=\"jet-form__fields-group checkradio-wrap\">\t\t<div class=\"jet-form__field-wrap radio-wrap checkradio-wrap\">\n\t\t\t\t\t\t<label class=\"jet-form__field-label\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\tname=\"necessidade\"\n\t\t\t\t\tclass=\"jet-form__field radio-field checkradio-field\"\n\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\tdata-field-name=\"necessidade\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t>\n\t\t\t\tSim\t\t\t<\/label>\n\t\t<\/div>\n\t\t\t\t<div class=\"jet-form__field-wrap radio-wrap checkradio-wrap\">\n\t\t\t\t\t\t<label class=\"jet-form__field-label\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\tname=\"necessidade\"\n\t\t\t\t\tclass=\"jet-form__field radio-field checkradio-field\"\n\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\tdata-field-name=\"necessidade\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t>\n\t\t\t\tN\u00e3o\t\t\t<\/label>\n\t\t<\/div>\n\t\t<\/div><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"descreva-necessidade\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;necessidade&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;1&quot;,&quot;set_value&quot;:&quot;&quot;}]\"><input class=\"jet-form__field text-field \" placeholder=\"Descreva aqui sua necessidade especial\" value=\"\" required=\"required\" name=\"descreva-necessidade\" id=\"descreva-necessidade\" type=\"text\" data-field-name=\"descreva-necessidade\"><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-12  field-type-radio  jet-form-field-container\" data-field=\"restricao\" data-conditional=\"false\"><div class=\"jet-form__label\">\n\t<span class=\"jet-form__label-text\" >Possui restri\u00e7\u00e3o alimentar?<\/span>\n\t<\/div><div class=\"jet-form__fields-group checkradio-wrap\">\t\t<div class=\"jet-form__field-wrap radio-wrap checkradio-wrap\">\n\t\t\t\t\t\t<label class=\"jet-form__field-label\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\tname=\"restricao\"\n\t\t\t\t\tclass=\"jet-form__field radio-field checkradio-field\"\n\t\t\t\t\tvalue=\"1\"\n\t\t\t\t\tdata-field-name=\"restricao\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t>\n\t\t\t\tSim\t\t\t<\/label>\n\t\t<\/div>\n\t\t\t\t<div class=\"jet-form__field-wrap radio-wrap checkradio-wrap\">\n\t\t\t\t\t\t<label class=\"jet-form__field-label\">\n\t\t\t\t<input\n\t\t\t\t\ttype=\"radio\"\n\t\t\t\t\tname=\"restricao\"\n\t\t\t\t\tclass=\"jet-form__field radio-field checkradio-field\"\n\t\t\t\t\tvalue=\"2\"\n\t\t\t\t\tdata-field-name=\"restricao\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t>\n\t\t\t\tN\u00e3o\t\t\t<\/label>\n\t\t<\/div>\n\t\t<\/div><\/div><\/div><div  class=\"jet-form-row\"><div class=\"jet-form-col jet-form-col-6  field-type-text  jet-form-field-container\" data-field=\"descreva-restricao\" data-conditional=\"[{&quot;type&quot;:&quot;show&quot;,&quot;field&quot;:&quot;restricao&quot;,&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;1&quot;,&quot;set_value&quot;:&quot;&quot;}]\"><input class=\"jet-form__field text-field \" placeholder=\"Descreva aqui sua restri\u00e7\u00e3o alimentar\" value=\"\" required=\"required\" name=\"descreva-restricao\" id=\"descreva-restricao\" type=\"text\" data-field-name=\"descreva-restricao\"><\/div><\/div><div  class=\"jet-form-row jet-form-row--submit\"><div class=\"jet-form-col jet-form-col-12  field-type-submit  jet-form-field-container\" data-field=\"Submit\" data-conditional=\"false\"><div class=\"jet-form__submit-wrap\">\n\t\t<button class=\"jet-form__submit submit-type-reload\" type=\"submit\">Enviar cadastro<\/button>\n<\/div><\/div><\/div><input class=\"jet-form__field hidden-field\" type=\"hidden\" name=\"_jet_engine_nonce\" value=\"2743227a56\" data-field-name=\"_jet_engine_nonce\"><\/form>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Nome completo* Seu email* Seu nome para o crach\u00e1* Seu telefone de contato* Sua data de nascimento* Seu g\u00eanero* Seu endere\u00e7o completo* Categoria de sua participa\u00e7\u00e3o* EscolhaParticipante com direito a voz e votoVisitante com direito a vozNesta op\u00e7\u00e3o devem se inscrever como participante com direito a voz e voto apenas moradores ou trabalhadores do SUS [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-588","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/guapimirim.rj.gov.br\/novosite\/wp-json\/wp\/v2\/pages\/588","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/guapimirim.rj.gov.br\/novosite\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/guapimirim.rj.gov.br\/novosite\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/guapimirim.rj.gov.br\/novosite\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/guapimirim.rj.gov.br\/novosite\/wp-json\/wp\/v2\/comments?post=588"}],"version-history":[{"count":7,"href":"https:\/\/guapimirim.rj.gov.br\/novosite\/wp-json\/wp\/v2\/pages\/588\/revisions"}],"predecessor-version":[{"id":597,"href":"https:\/\/guapimirim.rj.gov.br\/novosite\/wp-json\/wp\/v2\/pages\/588\/revisions\/597"}],"wp:attachment":[{"href":"https:\/\/guapimirim.rj.gov.br\/novosite\/wp-json\/wp\/v2\/media?parent=588"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}