{"id":13151,"date":"2024-08-19T07:48:17","date_gmt":"2024-08-19T05:48:17","guid":{"rendered":"https:\/\/szpitalpsychiatrycznywegorzewo.pl\/?page_id=13151"},"modified":"2024-08-19T07:48:17","modified_gmt":"2024-08-19T05:48:17","slug":"departments-3-7","status":"publish","type":"page","link":"https:\/\/szpitalpsychiatrycznywegorzewo.pl\/?page_id=13151","title":{"rendered":"Do pobrania"},"content":{"rendered":"<p><section id=\"bt_section69e43ed4dcc5e\"  class=\"boldSection btDivider topSemiSpaced bottomSemiSpaced btDarkSkin gutter inherit wBackground cover\" style=\"background-color:#0176d5;background-image:url('https:\/\/szpitalpsychiatrycznywegorzewo.pl\/wp-content\/uploads\/2018\/03\/bgn-general-hospital-10.jpg');\"><div class=\"port\"><div class=\"boldCell\"><div class=\"boldCellInner\"><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-12 col-ms-12  btTextLeft animate animate-fadein animate-moveleft inherit\"  ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator topExtraSmallSpaced bottomExtraSmallSpaced noBorder\" ><hr><\/div><header class=\"header btClear extralarge btDash bottomDash  btAlternateDash\" ><div class=\"dash\"><h1><span class=\"headline\">Dokumenty do pobrania<\/span><\/h1><\/div><\/header><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section id=\"bt_section69e43ed4dcd59\"  class=\"boldSection topSpaced bottomSpaced gutter inherit\" ><div class=\"port\"><div class=\"boldCell\"><div class=\"boldCellInner\"><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-12 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btText\" ><\/p>\n<p>ZOLP:<\/p>\n<p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-12 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator bottomSmallSpaced noBorder\" ><hr><\/div><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-3 col-sm-6 col-ms-12 btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btText\" ><\/p>\n<p>1. Wniosek o wydanie skierowania do ZOLP<\/p>\n<p>\n<\/div><\/div><\/div><div class=\"rowItem col-md-9 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><a href=\"\/wp-content\/uploads\/2024\/08\/zalacznik-nr-1-wniosek-o-wydanie-skierowania-do-ZOLP.pdf\" class=\"btBtn btBtn btnOutlineStyle btnAccentColor btnExtraSmall btnNormalWidth btnRightPosition btnIco\"  target=\"_blank\"><span class=\"btnInnerText\">POBIERZ<\/span><span class=\"btIco \" ><span  data-ico-fa=\"&#xf019;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/a><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-12 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator bottomSmallSpaced noBorder\" ><hr><\/div><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-3 col-sm-6 col-ms-12 btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btText\" ><\/p>\n<p>2. Wywiad piel\u0119gniarski i za\u015bwiadczenie lekarskie<\/p>\n<p>\n<\/div><\/div><\/div><div class=\"rowItem col-md-9 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><a href=\"\/wp-content\/uploads\/2024\/08\/zalacznik-nr-2-wywiad-pielegniarski-i-zaswiadczenie-lekarskie.pdf\" class=\"btBtn btBtn btnOutlineStyle btnAccentColor btnExtraSmall btnNormalWidth btnRightPosition btnIco\"  target=\"_blank\"><span class=\"btnInnerText\">POBIERZ<\/span><span class=\"btIco \" ><span  data-ico-fa=\"&#xf019;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/a><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-12 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator bottomSmallSpaced noBorder\" ><hr><\/div><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-3 col-sm-6 col-ms-12 btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btText\" ><\/p>\n<p>3. Skierowanie do ZOLP<\/p>\n<p>\n<\/div><\/div><\/div><div class=\"rowItem col-md-9 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><a href=\"\/wp-content\/uploads\/2024\/08\/zalacznik-nr-3-skierowanie-do-ZOLP.pdf\" class=\"btBtn btBtn btnOutlineStyle btnAccentColor btnExtraSmall btnNormalWidth btnRightPosition btnIco\"  target=\"_blank\"><span class=\"btnInnerText\">POBIERZ<\/span><span class=\"btIco \" ><span  data-ico-fa=\"&#xf019;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/a><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-12 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator bottomSmallSpaced noBorder\" ><hr><\/div><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-3 col-sm-6 col-ms-12 btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btText\" ><\/p>\n<p>4. Wz\u00f3r wniosku do O\u015brodka Pomocy Spo\u0142ecznej<\/p>\n<p>\n<\/div><\/div><\/div><div class=\"rowItem col-md-9 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><a href=\"\/wp-content\/uploads\/2024\/08\/zalacznik-nr-4wzor-wniosku-do-Osrodka-Pomoocy-Spolecznej.pdf\" class=\"btBtn btBtn btnOutlineStyle btnAccentColor btnExtraSmall btnNormalWidth btnRightPosition btnIco\"  target=\"_blank\"><span class=\"btnInnerText\">POBIERZ<\/span><span class=\"btIco \" ><span  data-ico-fa=\"&#xf019;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/a><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-12 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator bottomSmallSpaced noBorder\" ><hr><\/div><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-3 col-sm-6 col-ms-12 btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btText\" ><\/p>\n<p>5. O\u015bwiadczenie zgoda na pobyt<\/p>\n<p>\n<\/div><\/div><\/div><div class=\"rowItem col-md-9 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><a href=\"\/wp-content\/uploads\/2024\/08\/zalacznik-nr-5-oswiadczenie-zgoda-na-pobyt.pdf\" class=\"btBtn btBtn btnOutlineStyle btnAccentColor btnExtraSmall btnNormalWidth btnRightPosition btnIco\"  target=\"_blank\"><span class=\"btnInnerText\">POBIERZ<\/span><span class=\"btIco \" ><span  data-ico-fa=\"&#xf019;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/a><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-12 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator bottomSmallSpaced noBorder\" ><hr><\/div><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-3 col-sm-6 col-ms-12 btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btText\" ><\/p>\n<p>6. Skala Barthel<\/p>\n<p>\n<\/div><\/div><\/div><div class=\"rowItem col-md-9 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><a href=\"\/wp-content\/uploads\/2024\/08\/zalacznik-nr-6-skala-Barthel.pdf\" class=\"btBtn btBtn btnOutlineStyle btnAccentColor btnExtraSmall btnNormalWidth btnRightPosition btnIco\"  target=\"_blank\"><span class=\"btnInnerText\">POBIERZ<\/span><span class=\"btIco \" ><span  data-ico-fa=\"&#xf019;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/a><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-12 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator bottomSmallSpaced noBorder\" ><hr><\/div><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-3 col-sm-6 col-ms-12 btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btText\" ><\/p>\n<p>7. Wniosek o ustalenie odp\u0142atno\u015bci<\/p>\n<p>\n<\/div><\/div><\/div><div class=\"rowItem col-md-9 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><a href=\"\/wp-content\/uploads\/2024\/08\/zalacznik-nr-7-wniosek-o-stalenie-odplatnosci.pdf\" class=\"btBtn btBtn btnOutlineStyle btnAccentColor btnExtraSmall btnNormalWidth btnRightPosition btnIco\"  target=\"_blank\"><span class=\"btnInnerText\">POBIERZ<\/span><span class=\"btIco \" ><span  data-ico-fa=\"&#xf019;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/a><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-12 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator bottomSmallSpaced noBorder\" ><hr><\/div><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-3 col-sm-6 col-ms-12 btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btText\" ><\/p>\n<p>8. O\u015bwiadczenie zgoda na pranie odzie\u017cy<\/p>\n<p>\n<\/div><\/div><\/div><div class=\"rowItem col-md-9 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><a href=\"\/wp-content\/uploads\/2024\/08\/zalacznik-nr-8-oswiadczenie-zgoda-na-pranie-odziezy.pdf\" class=\"btBtn btBtn btnOutlineStyle btnAccentColor btnExtraSmall btnNormalWidth btnRightPosition btnIco\"  target=\"_blank\"><span class=\"btnInnerText\">POBIERZ<\/span><span class=\"btIco \" ><span  data-ico-fa=\"&#xf019;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/a><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-12 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator bottomSmallSpaced noBorder\" ><hr><\/div><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-3 col-sm-6 col-ms-12 btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btText\" ><\/p>\n<p>9. O\u015bwiadczenie zapewnienie opieki dla pacjenta<\/p>\n<p>\n<\/div><\/div><\/div><div class=\"rowItem col-md-9 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><a href=\"\/wp-content\/uploads\/2024\/08\/zalacznik-nr-9-oswiadczenie-zapewnienie-opieki-dla-pacjenta.pdf\" class=\"btBtn btBtn btnOutlineStyle btnAccentColor btnExtraSmall btnNormalWidth btnRightPosition btnIco\"  target=\"_blank\"><span class=\"btnInnerText\">POBIERZ<\/span><span class=\"btIco \" ><span  data-ico-fa=\"&#xf019;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/a><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-12 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator bottomSmallSpaced noBorder\" ><hr><\/div><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-3 col-sm-6 col-ms-12 btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btText\" ><\/p>\n<p>10. O\u015bwiadczenie rzeczy osobiste pacjenta<\/p>\n<p>\n<\/div><\/div><\/div><div class=\"rowItem col-md-9 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><a href=\"\/wp-content\/uploads\/2024\/08\/zalacznik-nr-10-oswiadczenie-rzeczy-osobiste-pacjenta.pdf\" class=\"btBtn btBtn btnOutlineStyle btnAccentColor btnExtraSmall btnNormalWidth btnRightPosition btnIco\"  target=\"_blank\"><span class=\"btnInnerText\">POBIERZ<\/span><span class=\"btIco \" ><span  data-ico-fa=\"&#xf019;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/a><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-12 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btClear btSeparator bottomSmallSpaced noBorder\" ><hr><\/div><\/div><\/div><\/div><\/div><div class=\"boldRow  \" ><div class=\"boldRowInner\"><div class=\"rowItem col-md-3 col-sm-6 col-ms-12 btTextLeft\"  ><div class=\"rowItemContent\" ><div class=\"btText\" ><\/p>\n<p>11. O\u015bwiadczenie zasady pobytu i odp\u0142atno\u015bci<\/p>\n<p>\n<\/div><\/div><\/div><div class=\"rowItem col-md-9 col-ms-12  btTextLeft\"  ><div class=\"rowItemContent\" ><a href=\"\/wp-content\/uploads\/2024\/08\/zalacznik-nr-11-oswiadczenie-zasady-pobytu-i-odplatnosci.pdf\" class=\"btBtn btBtn btnOutlineStyle btnAccentColor btnExtraSmall btnNormalWidth btnRightPosition btnIco\"  target=\"_blank\"><span class=\"btnInnerText\">POBIERZ<\/span><span class=\"btIco \" ><span  data-ico-fa=\"&#xf019;\" class=\"btIcoHolder\"><em><\/em><\/span><\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-13151","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/szpitalpsychiatrycznywegorzewo.pl\/index.php?rest_route=\/wp\/v2\/pages\/13151","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/szpitalpsychiatrycznywegorzewo.pl\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/szpitalpsychiatrycznywegorzewo.pl\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/szpitalpsychiatrycznywegorzewo.pl\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/szpitalpsychiatrycznywegorzewo.pl\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=13151"}],"version-history":[{"count":0,"href":"https:\/\/szpitalpsychiatrycznywegorzewo.pl\/index.php?rest_route=\/wp\/v2\/pages\/13151\/revisions"}],"wp:attachment":[{"href":"https:\/\/szpitalpsychiatrycznywegorzewo.pl\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=13151"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}