mutual-argentino.online Open in urlscan Pro
69.163.152.29 Public Scan

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Submitted URL:
https://www.mutual-argentino.online/
Effective URL:
https://mutual-argentino.online/adherite/index.htm
Submission: On February 26 via automatic, source certstream-suspicious (February 26th 2023, 11:07:31 pm UTC) — Scanned from DE

Form analysis
5 forms found in the DOM

POST /adherite/#wpcf7-f2031-p1813-o1

<form action="/adherite/#wpcf7-f2031-p1813-o1" method="post" class="wpcf7-form init" aria-label="Formulario de contacto" novalidate="novalidate" data-status="init">
  <div style="display: none;">
    <input name="_wpcf7" value="2031" type="hidden">
    <input name="_wpcf7_version" value="5.7.3" type="hidden">
    <input name="_wpcf7_locale" value="es_ES" type="hidden">
    <input name="_wpcf7_unit_tag" value="wpcf7-f2031-p1813-o1" type="hidden">
    <input name="_wpcf7_container_post" value="1813" type="hidden">
    <input name="_wpcf7_posted_data_hash" value="" type="hidden">
  </div>
  <p><span class="wpcf7-form-control-wrap" data-name="DatosdelaIntitucin"><input size="40" class="wpcf7-form-control wpcf7-text" aria-invalid="false" placeholder="Nombre de la Intitución" value="" name="DatosdelaIntitucin" type="text"></span>
  </p>
  <p><span class="wpcf7-form-control-wrap" data-name="direccion"><input size="40" class="wpcf7-form-control wpcf7-text" aria-invalid="false" placeholder="Dirección" value="" name="direccion" type="text"></span>
  </p>
  <p><span class="wpcf7-form-control-wrap" data-name="localidad"><input size="40" class="wpcf7-form-control wpcf7-text" aria-invalid="false" placeholder="Localidad" value="" name="localidad" type="text"></span>
  </p>
  <p><span class="wpcf7-form-control-wrap" data-name="provincia"><input size="40" class="wpcf7-form-control wpcf7-text" aria-invalid="false" placeholder="Provincia" value="" name="provincia" type="text"></span>
  </p>
  <p><span class="wpcf7-form-control-wrap" data-name="tel"><input size="40" class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel" aria-invalid="false" placeholder="Teléfono" value="" name="tel" type="tel"></span>
  </p>
  <p><span class="wpcf7-form-control-wrap" data-name="mail"><input size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-email" aria-invalid="false" placeholder="E-mail" value="" name="mail" type="email"></span>
  </p>
  <p><span class="wpcf7-form-control-wrap" data-name="nombreyapellido"><input size="40" class="wpcf7-form-control wpcf7-text" aria-invalid="false" placeholder="Nombre y Apellido" value="" name="nombreyapellido" type="text"></span>
  </p>
  <div class="wpcf7-response-output" aria-hidden="true"></div>
</form>

POST /adherite/#wpcf7-f2050-p1813-o2

<form action="/adherite/#wpcf7-f2050-p1813-o2" method="post" class="wpcf7-form init" aria-label="Formulario de contacto" novalidate="novalidate" data-status="init">
  <div style="display: none;">
    <input name="_wpcf7" value="2050" type="hidden">
    <input name="_wpcf7_version" value="5.7.3" type="hidden">
    <input name="_wpcf7_locale" value="es_ES" type="hidden">
    <input name="_wpcf7_unit_tag" value="wpcf7-f2050-p1813-o2" type="hidden">
    <input name="_wpcf7_container_post" value="1813" type="hidden">
    <input name="_wpcf7_posted_data_hash" value="" type="hidden">
  </div>
  <p><span class="wpcf7-form-control-wrap" data-name="camas"><input size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Cantidad de camas de internación comunes:" value=""
        name="camas" type="text"></span>
  </p>
  <p><span class="wpcf7-form-control-wrap" data-name="texto"><textarea cols="40" rows="10" class="wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
        placeholder="Especialidades que se atienden con mayor frecuencia:" name="texto"></textarea></span>
  </p>
  <p><span class="wpcf7-form-control-wrap" data-name="text-74"><input size="40" class="wpcf7-form-control wpcf7-text" aria-invalid="false" value="Tiene la institución servicios tercerizados / concesionados" name="text-74" type="text"></span>
  </p>
  <p><span class="wpcf7-form-control-wrap" data-name="radio-898"><span class="wpcf7-form-control wpcf7-radio"><span class="wpcf7-list-item first"><label><input name="radio-898" value="Si" checked="checked" tabindex="" type="radio"><span
              class="wpcf7-list-item-label">Si</span></label></span><span class="wpcf7-list-item last"><label><input name="radio-898" value="No" tabindex="" type="radio"><span class="wpcf7-list-item-label">No</span></label></span></span></span>
  </p>
  <p><span class="wpcf7-form-control-wrap" data-name="text-915"><input size="40" class="wpcf7-form-control wpcf7-text" aria-invalid="false" value="Tiene la institución servicio de emergencia móvil propio" name="text-915" type="text"></span>
  </p>
  <p><span class="wpcf7-form-control-wrap" data-name="radio-899"><span class="wpcf7-form-control wpcf7-radio"><span class="wpcf7-list-item first"><label><input name="radio-899" value="Si" checked="checked" tabindex="" type="radio"><span
              class="wpcf7-list-item-label">Si</span></label></span><span class="wpcf7-list-item last"><label><input name="radio-899" value="No" tabindex="" type="radio"><span class="wpcf7-list-item-label">No</span></label></span></span></span>
  </p>
  <p><span class="wpcf7-form-control-wrap" data-name="text-915"><input size="40" class="wpcf7-form-control wpcf7-text" aria-invalid="false" value="La institución es prestadora de alguna ART?" name="text-915" type="text"></span>
  </p>
  <p><span class="wpcf7-form-control-wrap" data-name="radio-890"><span class="wpcf7-form-control wpcf7-radio"><span class="wpcf7-list-item first"><label><input name="radio-890" value="Si" checked="checked" tabindex="" type="radio"><span
              class="wpcf7-list-item-label">Si</span></label></span><span class="wpcf7-list-item last"><label><input name="radio-890" value="No" tabindex="" type="radio"><span class="wpcf7-list-item-label">No</span></label></span></span></span>
  </p>
  <div class="wpcf7-response-output" aria-hidden="true"></div>
</form>

POST /adherite/#wpcf7-f2067-p1813-o3

<form action="/adherite/#wpcf7-f2067-p1813-o3" method="post" class="wpcf7-form init" aria-label="Formulario de contacto" novalidate="novalidate" data-status="init">
  <div style="display: none;">
    <input name="_wpcf7" value="2067" type="hidden">
    <input name="_wpcf7_version" value="5.7.3" type="hidden">
    <input name="_wpcf7_locale" value="es_ES" type="hidden">
    <input name="_wpcf7_unit_tag" value="wpcf7-f2067-p1813-o3" type="hidden">
    <input name="_wpcf7_container_post" value="1813" type="hidden">
    <input name="_wpcf7_posted_data_hash" value="" type="hidden">
  </div>
  <p><span class="wpcf7-form-control-wrap" data-name="textarea-547"><textarea cols="40" rows="10" class="wpcf7-form-control wpcf7-textarea" aria-invalid="false" name="textarea-547"></textarea></span>
  </p>
  <div class="wpcf7-response-output" aria-hidden="true"></div>
</form>

POST /adherite/#wpcf7-f2074-p1813-o4

<form action="/adherite/#wpcf7-f2074-p1813-o4" method="post" class="wpcf7-form init" aria-label="Formulario de contacto" novalidate="novalidate" data-status="init">
  <div style="display: none;">
    <input name="_wpcf7" value="2074" type="hidden">
    <input name="_wpcf7_version" value="5.7.3" type="hidden">
    <input name="_wpcf7_locale" value="es_ES" type="hidden">
    <input name="_wpcf7_unit_tag" value="wpcf7-f2074-p1813-o4" type="hidden">
    <input name="_wpcf7_container_post" value="1813" type="hidden">
    <input name="_wpcf7_posted_data_hash" value="" type="hidden">
  </div>
  <p><span class="wpcf7-form-control-wrap" data-name="radio-655"><span class="wpcf7-form-control wpcf7-radio"><span class="wpcf7-list-item first"><label><input name="radio-655" value="$500.000" checked="checked" tabindex="" type="radio"><span
              class="wpcf7-list-item-label">$500.000</span></label></span><span class="wpcf7-list-item"><label><input name="radio-655" value="$750.000" tabindex="" type="radio"><span class="wpcf7-list-item-label">$750.000</span></label></span><span
          class="wpcf7-list-item"><label><input name="radio-655" value="$1.000.000" tabindex="" type="radio"><span class="wpcf7-list-item-label">$1.000.000</span></label></span><span class="wpcf7-list-item"><label><input name="radio-655"
              value="$1.500.000" tabindex="" type="radio"><span class="wpcf7-list-item-label">$1.500.000</span></label></span><span class="wpcf7-list-item"><label><input name="radio-655" value="$2.000.000" tabindex="" type="radio"><span
              class="wpcf7-list-item-label">$2.000.000</span></label></span><span class="wpcf7-list-item"><label><input name="radio-655" value="$3.000.000" tabindex="" type="radio"><span
              class="wpcf7-list-item-label">$3.000.000</span></label></span><span class="wpcf7-list-item last"><label><input name="radio-655" value="+ $3.000.000" tabindex="" type="radio"><span class="wpcf7-list-item-label">+
              $3.000.000</span></label></span></span></span>
  </p>
  <div class="wpcf7-response-output" aria-hidden="true"></div>
</form>

POST /adherite/#wpcf7-f2082-p1813-o5

<form action="/adherite/#wpcf7-f2082-p1813-o5" method="post" class="wpcf7-form init" aria-label="Formulario de contacto" novalidate="novalidate" data-status="init">
  <div style="display: none;">
    <input name="_wpcf7" value="2082" type="hidden">
    <input name="_wpcf7_version" value="5.7.3" type="hidden">
    <input name="_wpcf7_locale" value="es_ES" type="hidden">
    <input name="_wpcf7_unit_tag" value="wpcf7-f2082-p1813-o5" type="hidden">
    <input name="_wpcf7_container_post" value="1813" type="hidden">
    <input name="_wpcf7_posted_data_hash" value="" type="hidden">
  </div>
  <p><input class="wpcf7-form-control has-spinner wpcf7-submit" value="Enviar" type="submit"><span class="wpcf7-spinner"></span>
  </p>
  <div class="wpcf7-response-output" aria-hidden="true"></div>
</form>

Text Content

Ir al contenido
Menú principal
 * Quienes somos
 * 
   
 * Servicios
 * Adherite
 * Artículos
 * Revista
 * Publicaciones
 * Prensa
 * Contacto


SI YA NOS CONOCES


A D H E R I T E


ADHESIONES

Si usted desea recibir una propuesta de adhesión al Programa que desarrolla
nuestra Entidad, complete este formulario y nos pondremos en contacto.




INFORMACIÓN GENERAL

SiNo



SiNo



SiNo




COBERTURA DE SEGURO ACTUAL:

Si usted lo desea, a continuación informe el nombre de la aseguradora que
actualmente le otorga cobertura por mala praxis, el monto de la suma asegurada y
la fecha de vencimiento de la póliza:




COBERTURA A CONTRATAR:

Informe el monto de suma asegurada que desearía tener en su próxima cobertura de
seguro:

$500.000$750.000$1.000.000$1.500.000$2.000.000$3.000.000+ $3.000.000




Copyright © La Mutual Argentina

mutual-argentino.online Open in urlscan Pro 69.163.152.29 Public Scan

Form analysis 5 forms found in the DOM