{"id":1690,"date":"2026-05-06T09:09:45","date_gmt":"2026-05-06T09:09:45","guid":{"rendered":"https:\/\/gesmd.es\/?page_id=1690"},"modified":"2026-05-13T13:00:09","modified_gmt":"2026-05-13T13:00:09","slug":"register","status":"publish","type":"page","link":"https:\/\/gesmd.es\/?page_id=1690","title":{"rendered":"Formulario"},"content":{"rendered":"\n<div class=\"wp-block-uagb-container uagb-block-e90a5eeb default uagb-is-root-container\">\n\n<div class=\"um um-register um-1684\">\n\t<div class=\"um-form\" data-mode=\"register\">\n\t\t<form method=\"post\" action=\"\">\n\t\t\t<div class=\"um-row _um_row_1 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_1684_first_name\" class=\"um-field um-field-text  um-field-first_name um-field-text um-field-type_text\" data-key=\"first_name\"><div class=\"um-field-label\"><label for=\"first_name-1684\">Nombre<span class=\"um-req\" title=\"Obligatorio\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"first_name-1684\" id=\"first_name-1684\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"first_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_1684_last_name\" class=\"um-field um-field-text  um-field-last_name um-field-text um-field-type_text\" data-key=\"last_name\"><div class=\"um-field-label\"><label for=\"last_name-1684\">Apellidos<span class=\"um-req\" title=\"Obligatorio\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"last_name-1684\" id=\"last_name-1684\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"last_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><div class=\"um-col-121\"><div  id=\"um_field_1684_categoria_profesional\" class=\"um-field um-field-select  um-field-categoria_profesional um-field-select um-field-type_select\" data-key=\"categoria_profesional\"><div class=\"um-field-label\"><label for=\"categoria_profesional-1684\">Categor\u00eda profesional<span class=\"um-req\" title=\"Obligatorio\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"\"     name=\"categoria_profesional\" id=\"categoria_profesional\" data-validate=\"\" data-key=\"categoria_profesional\" class=\"um-form-field valid um-s1 \" style=\"width: 100%\" data-placeholder=\"\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"M\u00e9dico\/a\" >M\u00e9dico\/a<\/option><option value=\"MIR\/Residente\" >MIR\/Residente<\/option><option value=\"Bi\u00f3logo\/a\" >Bi\u00f3logo\/a<\/option><option value=\"Investigador\/a no cl\u00ednico\" >Investigador\/a no cl\u00ednico<\/option><option value=\"Otro\" >Otro<\/option><\/select><\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_1684_especialidad\" class=\"um-field um-field-text  um-field-especialidad um-field-text um-field-type_text\" data-key=\"especialidad\"><div class=\"um-field-label\"><label for=\"especialidad-1684\">Especialidad<span class=\"um-req\" title=\"Obligatorio\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"especialidad-1684\" id=\"especialidad-1684\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"especialidad\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><div class=\"um-col-1\"><div  id=\"um_field_1684_hospital\" class=\"um-field um-field-text  um-field-hospital um-field-text um-field-type_text\" data-key=\"hospital\"><div class=\"um-field-label\"><label for=\"hospital-1684\">Hospital \/ Centro de trabajo<span class=\"um-req\" title=\"Obligatorio\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"hospital-1684\" id=\"hospital-1684\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"hospital\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1684_poblacion\" class=\"um-field um-field-text  um-field-poblacion um-field-text um-field-type_text\" data-key=\"poblacion\"><div class=\"um-field-label\"><label for=\"poblacion-1684\">Poblaci\u00f3n<span class=\"um-req\" title=\"Obligatorio\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"poblacion-1684\" id=\"poblacion-1684\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"poblacion\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-121\"><div  id=\"um_field_1684_user_email\" class=\"um-field um-field-text  um-field-user_email um-field-text um-field-type_text\" data-key=\"user_email\"><div class=\"um-field-label\"><label for=\"user_email-1684\">Direcci\u00f3n de correo electr\u00f3nico<span class=\"um-req\" title=\"Obligatorio\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"user_email-1684\" id=\"user_email-1684\" value=\"\" placeholder=\"\" data-validate=\"unique_email\" data-key=\"user_email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_1684_telefono\" class=\"um-field um-field-tel  um-field-telefono um-field-tel um-field-type_tel\" data-key=\"telefono\"><div class=\"um-field-label\"><label for=\"telefono-1684\">Tel\u00e9fono de contacto<span class=\"um-req\" title=\"Obligatorio\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"tel\" name=\"telefono-1684\" id=\"telefono-1684\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"telefono\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><div class=\"um-col-121\"><div  id=\"um_field_1684_dni\" class=\"um-field um-field-text  um-field-dni um-field-text um-field-type_text\" data-key=\"dni\"><div class=\"um-field-label\"><label for=\"dni-1684\">DNI<span class=\"um-req\" title=\"Obligatorio\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"dni-1684\" id=\"dni-1684\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"dni\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_1684_nacimiento\" class=\"um-field um-field-date  um-field-nacimiento um-field-date um-field-type_date\" data-key=\"nacimiento\"><div class=\"um-field-label\"><label for=\"nacimiento-1684\">Fecha de nacimiento<span class=\"um-req\" title=\"Obligatorio\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input   class=\"um-form-field valid um-datepicker \" type=\"text\" name=\"nacimiento-1684\" id=\"nacimiento-1684\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"nacimiento\" data-range=\"years\" data-years=\"200\" data-years_x=\"equal\" data-disabled_weekdays=\"\" data-date_min=\"1926,6,29\" data-date_max=\"2126,6,29\" data-format=\"d mmm yyyy\" data-value=\"\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><div class=\"um-col-1\"><div  id=\"um_field_1684_socio\" class=\"um-field um-field-radio  um-field-socio um-field-radio um-field-type_radio\" data-key=\"socio\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"socio-1684\">\u00bfEs socio\/a de la SEHH?<span class=\"um-req\" title=\"Obligatorio\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"socio[]\" value=\"S\u00ed\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">S\u00ed<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"socio[]\" value=\"No\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">No<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  class=\"um-field um-field-block  um-is-conditional um-field-block um-field-type_block\" data-key=\"um_block_1684_15\" data-cond-0-action=\"show\" data-cond-0-field=\"socio\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"No\">Ser socio de la SEHH es un requisito imprescindible para ser aprobado como socio del GESMD. Mientras se estudia su candidatura en GESMD, le sugerimos que solicite ser socio de la SEHH (<a href=\"https:\/\/www.sehh.es\/servicios-para-los-socios\/alta-como-socio\">https:\/\/www.sehh.es\/servicios-para-los-socios\/alta-como-socio<\/a>) <\/div><\/div><div class=\"um-col-1\"><div  id=\"um_field_1684_avalado\" class=\"um-field um-field-text  um-field-avalado um-field-text um-field-type_text\" data-key=\"avalado\"><div class=\"um-field-label\"><label for=\"avalado-1684\">Avalado por<span class=\"um-req\" title=\"Obligatorio\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"avalado-1684\" id=\"avalado-1684\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"avalado\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-1\"><div  id=\"um_field_1684_comentarios\" class=\"um-field um-field-text  um-field-comentarios um-field-text um-field-type_text\" data-key=\"comentarios\"><div class=\"um-field-label\"><label for=\"comentarios-1684\">Comentarios<span class=\"um-req\" title=\"Obligatorio\">*<\/span><\/label><span class=\"um-tip um-tip-w\" title=\"Indique brevemente su \u00e1rea de inter\u00e9s y la actividad que desarrolla relacionada con los SMD y\/o la LMMC.\"><i class=\"um-icon-help-circled\"><\/i><\/span><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"comentarios-1684\" id=\"comentarios-1684\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"comentarios\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><\/div><div class=\"um-row _um_row_2 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-block  um-field-block um-field-type_block\" data-key=\"um_block_1684_17\">Los datos facilitados ser\u00e1n tratados por el GESMD con la finalidad de gestionar su solicitud de incorporaci\u00f3n al Grupo y mantener las comunicaciones relacionadas con su actividad cient\u00edfica, incluyendo el env\u00edo de newsletters y comunicaciones electr\u00f3nicas. Los datos podr\u00e1n ser compartidos con la Sociedad Espa\u00f1ola de Hematolog\u00eda y Hemoterapia (SEHH). Puede ejercer sus derechos de protecci\u00f3n de datos dirigi\u00e9ndose al correo electr\u00f3nico <a href=\"mailto:secretaria@gesmd.es\">secretaria@gesmd.es<\/a> <\/div><div  id=\"um_field_1684_proteccion_datos\" class=\"um-field um-field-checkbox  um-field-proteccion_datos um-field-checkbox um-field-type_checkbox\" data-key=\"proteccion_datos\"  aria-invalid=\"false\" ><div class=\"um-field-area\"><label class=\"um-field-checkbox  um-field-half \"><input   type=\"checkbox\" name=\"proteccion_datos[]\" value=\"He le\u00eddo y acepto la pol\u00edtica de protecci\u00f3n de datos.\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">He le\u00eddo y acepto la pol\u00edtica de protecci\u00f3n de datos.<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><\/div><\/div>\t<input type=\"hidden\" name=\"form_id\" id=\"form_id_1684\" value=\"1684\" \/>\n\t\t<p class=\"um_request_name\">\n\t\t<label for=\"um_request_1684\">Only fill in if you are not human<\/label>\n\t\t<input type=\"hidden\" name=\"um_request\" id=\"um_request_1684\" class=\"input\" value=\"\" size=\"25\" autocomplete=\"off\" \/>\n\t<\/p>\n\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"e5d7c51db4\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1690\" \/>\n\t<div class=\"um-col-alt\">\n\n\t\t\n\t\t\t<div class=\"um-center\">\n\t\t\t\t<input type=\"submit\" value=\"Registro\" class=\"um-button\" id=\"um-submit-btn\" \/>\n\t\t\t<\/div>\n\n\t\t\n\t\t<div class=\"um-clear\"><\/div>\n\n\t<\/div>\n\n\t\t\t<\/form>\n\t<\/div>\n<\/div>\n<style>\n\t\t\t.um-1684.um {\n\t\t\tmax-width: 700px;\n\t\t}\n\t\t<\/style>\n\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","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":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","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-5)","background-image":"","background-repeat":"repeat","background-position":"center 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