{"id":350,"date":"2024-07-08T14:52:23","date_gmt":"2024-07-08T14:52:23","guid":{"rendered":"https:\/\/healyourselftherapy.com\/?page_id=350"},"modified":"2026-02-11T09:01:57","modified_gmt":"2026-02-11T14:01:57","slug":"the-smoking-cessation-form","status":"publish","type":"page","link":"https:\/\/healyourselftherapy.com\/es\/primera-sesion\/el-formulario-para-dejar-de-fumar\/","title":{"rendered":"Formulario para dejar de fumar"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"350\" class=\"elementor elementor-350\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cf30f78 e-flex e-con-boxed e-con e-parent\" data-id=\"cf30f78\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-988a2f8 e-con-full e-flex e-con e-child\" data-id=\"988a2f8\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3c028a6 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"3c028a6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">FORMULARIO PARA DEJAR DE FUMAR<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a1d71a4 elementor-widget__width-initial elementor-widget-mobile__width-initial elementor-widget elementor-widget-image\" data-id=\"a1d71a4\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"225\" height=\"225\" src=\"https:\/\/healyourselftherapy.com\/wp-content\/uploads\/2024\/07\/Stop-Smoking-circle.jpg.png\" class=\"attachment-large size-large wp-image-416\" alt=\"C\u00edrculo para dejar de fumar.jpg\" srcset=\"https:\/\/healyourselftherapy.com\/wp-content\/uploads\/2024\/07\/Stop-Smoking-circle.jpg.png 225w, https:\/\/healyourselftherapy.com\/wp-content\/uploads\/2024\/07\/Stop-Smoking-circle.jpg-150x150.png 150w, https:\/\/healyourselftherapy.com\/wp-content\/uploads\/2024\/07\/Stop-Smoking-circle.jpg-120x120.png 120w, https:\/\/healyourselftherapy.com\/wp-content\/uploads\/2024\/07\/Stop-Smoking-circle.jpg-12x12.png 12w, https:\/\/healyourselftherapy.com\/wp-content\/uploads\/2024\/07\/Stop-Smoking-circle.jpg-60x60.png 60w, https:\/\/healyourselftherapy.com\/wp-content\/uploads\/2024\/07\/Stop-Smoking-circle.jpg-80x80.png 80w, https:\/\/healyourselftherapy.com\/wp-content\/uploads\/2024\/07\/Stop-Smoking-circle.jpg-100x100.png 100w, https:\/\/healyourselftherapy.com\/wp-content\/uploads\/2024\/07\/Stop-Smoking-circle.jpg-140x140.png 140w, https:\/\/healyourselftherapy.com\/wp-content\/uploads\/2024\/07\/Stop-Smoking-circle.jpg-200x200.png 200w\" sizes=\"(max-width: 225px) 100vw, 225px\" title=\"\">\t\t\t\t\t\t\t\t\t\t\t\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<div class=\"elementor-element elementor-element-09ec63a e-flex e-con-boxed e-con e-parent\" data-id=\"09ec63a\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-de41528 elementor-widget elementor-widget-heading\" data-id=\"de41528\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Por favor complete el siguiente cuestionario al menos un d\u00eda antes de su cita.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ef6d724 e-con-full e-flex e-con e-child\" data-id=\"ef6d724\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ee78b5f elementor-align-center elementor-widget elementor-widget-button\" data-id=\"ee78b5f\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/form.typeform.com\/to\/pyMpmddv\" target=\"_blank\" rel=\"noopener\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Completa Tu Formulario de Admisi\u00f3n<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe9cafa elementor-widget elementor-widget-text-editor\" data-id=\"fe9cafa\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Cuanta m\u00e1s informaci\u00f3n nos des en los recuadros grandes, mejor. Nos ayuda a brindarte una sesi\u00f3n realmente buena y tambi\u00e9n nos ahorra tiempo para el trabajo que hay que hacer. Queremos que cada minuto cuente. Su informaci\u00f3n se nos env\u00eda autom\u00e1ticamente por correo electr\u00f3nico. Despu\u00e9s de completar su formulario, aseg\u00farese de prepararse para su sesi\u00f3n siguiendo las sugerencias a continuaci\u00f3n.<\/p><p>Para conocer los costos de la sesi\u00f3n, consulte Precios. El pago vence el mismo d\u00eda de nuestra sesi\u00f3n. El pago vence el mismo d\u00eda de nuestra sesi\u00f3n. Acepto efectivo, cheque o tarjeta de cr\u00e9dito. Tenga en cuenta:<b>Entendemos perfectamente que la vida es un caos. Si necesita reprogramar su cita, por favor, av\u00edsenos con 24 horas de anticipaci\u00f3n. Los cambios realizados dentro de las 24 horas previas a su cita (o la inasistencia) resultar\u00e1n en la p\u00e9rdida del importe total pagado por esa sesi\u00f3n.<\/b><\/p>\t\t\t\t\t\t\t\t<\/div>\n\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<div class=\"elementor-element elementor-element-51c5428 e-flex e-con-boxed e-con e-parent\" data-id=\"51c5428\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-519cd22 e-con-full e-flex e-con e-child\" data-id=\"519cd22\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-cb91311 e-con-full e-flex e-con e-child\" data-id=\"cb91311\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-48a43ba elementor-widget elementor-widget-heading\" data-id=\"48a43ba\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Prepar\u00e1ndose para su primera sesi\u00f3n:<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1707892 elementor-widget elementor-widget-text-editor\" data-id=\"1707892\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Si ya ha concertado su cita, esperamos conocerle. Si no ha concertado una cita y acaba de enviarnos su formulario, programe su cita haciendo clic a continuaci\u00f3n:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f4d18ed elementor-align-center elementor-widget elementor-widget-button\" data-id=\"f4d18ed\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/healyourselftherapy.simplybook.me\/v2\/#book\" target=\"_blank\" rel=\"noopener\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">AGENDAR AHORA<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4371379 elementor-widget elementor-widget-text-editor\" data-id=\"4371379\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Las direcciones de nuestras oficinas son:<\/p><p><span style=\"color: #418d3d;\"><a style=\"color: #418d3d; text-decoration: none;\" href=\"https:\/\/www.google.com\/maps\/place\/HEAL+YOURSELF+LA\/@34.0365853,-118.4688529,15z\/data=!3m2!4b1!5s0x80c2ba461d91ff45:0x2fca933768dac8fa!4m6!3m5!1s0x80c2bad434e9e9c7:0x1751b1c56c031367!8m2!3d34.0365689!4d-118.4503988!16s%2Fg%2F1tcw3wv0?entry=ttu\" target=\"_blank\" rel=\"noopener\">2001 S. Barrington Ave. Suite 203 Los \u00c1ngeles, CA 90025 EE. UU.<\/a><\/span><\/p><p><a href=\"https:\/\/www.google.com\/search?q=14827+Ventura+Blvd+ste+120,+Sherman+Oaks,+CA+91403,+USA&amp;shndl=40&amp;shem=geoshtc&amp;source=sh\/x\/loc\/geo\/m1\/1&amp;kgs=21411a87c76bce0b\" target=\"_blank\" rel=\"noreferrer noopener\" data-type=\"link\" data-id=\"https:\/\/g.co\/kgs\/JvSyWA5\">14827 Ventura Blvd. Suite 120, Sherman Oaks, CA 91403<\/a><\/p><p><a href=\"https:\/\/maps.app.goo.gl\/6TEGdGV2KAr1s1746\" target=\"_blank\" rel=\"noreferrer noopener\">3339 Federal Highway #B Boynton Beach, FL 33435<\/a><\/p><p><span style=\"color: #418d3d;\"><a style=\"color: #418d3d; text-decoration: none;\" href=\"https:\/\/www.google.com\/maps\/place\/HEAL+YOURSELF+Miami\/@25.7441557,-80.262821,17z\/data=!3m2!4b1!5s0x88d9b791541aecd3:0x6ce9760c50a4e263!4m6!3m5!1s0x88d9b720d494824b:0x7dca60c675b5c8c8!8m2!3d25.7441509!4d-80.2602461!16s%2Fg%2F11y4y2fxkv?entry=ttu\" target=\"_blank\" rel=\"noreferrer noopener\">Calle Salzedo 3081 Suite 202<br \/>Coral Gables, Florida 33134<\/a><\/span><\/p><p>Nuestro n\u00famero de tel\u00e9fono es\u00a0<span style=\"color: #418d3d;\"><a style=\"color: #418d3d; text-decoration: none;\" href=\"tel: (844) 347-2742\">(844) 347-2742<\/a><\/span>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-029ab9b e-con-full e-flex e-con e-child\" data-id=\"029ab9b\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-368594e elementor-widget elementor-widget-heading\" data-id=\"368594e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Consejos para una sesi\u00f3n realmente buena:<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2d08a63 elementor-widget elementor-widget-text-editor\" data-id=\"2d08a63\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Tenga la actitud de que est\u00e1 abierto y receptivo para aprovechar al m\u00e1ximo su sesi\u00f3n.<\/li><li>Realmente quiero lo que vienes a buscar.<\/li><li>Tenga la mentalidad de que estamos trabajando en equipo.<\/li><li>\u00a0No dudes en contarnos qu\u00e9 est\u00e1 pasando. Cuanto m\u00e1s entendamos de d\u00f3nde vienes y qu\u00e9 quieres lograr, mejor.<\/li><li>Haber comido algo antes con algo de prote\u00edna para que est\u00e9s muy c\u00f3modo y tu mente pueda concentrarse en lo que estamos haciendo. Aseg\u00farese de evitar el caf\u00e9 o cualquier otra bebida que contenga cafe\u00edna.<\/li><li>\u00a0Use ropa c\u00f3moda.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\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>","protected":false},"excerpt":{"rendered":"<p>FORMULARIO PARA DEJAR DE FUMAR Por favor, complete el siguiente cuestionario al menos un d\u00eda antes de su cita. Complete su formulario de admisi\u00f3n [\u2026]<\/p>","protected":false},"author":2,"featured_media":0,"parent":338,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-350","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Smoking Cessation Form - Heal Yourself Therapy<\/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:\/\/healyourselftherapy.com\/es\/primera-sesion\/el-formulario-para-dejar-de-fumar\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Smoking Cessation Form - Heal Yourself Therapy\" \/>\n<meta property=\"og:description\" content=\"SMOKING CESSATION FORM Please fill in the following questionnaire at least a day before your appointment. 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