{"id":309,"date":"2025-07-10T18:46:28","date_gmt":"2025-07-10T18:46:28","guid":{"rendered":"https:\/\/audreyrp.com.br\/audreyclinica\/?page_id=309"},"modified":"2026-04-14T13:37:13","modified_gmt":"2026-04-14T13:37:13","slug":"declaracao-de-recebimento-de-lpan","status":"publish","type":"page","link":"https:\/\/audreyrp.com.br\/audreyclinica\/declaracao-de-recebimento-de-lpan\/","title":{"rendered":"(LPAN-Recibo) Declara\u00e7\u00e3o de recebimento de Laudo Psicol\u00f3gico de Avalia\u00e7\u00e3o Neuropsicol\u00f3gica"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"309\" class=\"elementor elementor-309\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4f3a494 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no e-con e-parent\" data-id=\"4f3a494\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-69362e5c elementor-widget elementor-widget-shortcode\" data-id=\"69362e5c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-308 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-308\" data-uid=\"6a1529b3d45f7\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-308\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-308 forminator-design--default  forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"308\"\r\n\t\t\t\t data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"6a1529b3d45f7\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6a1529b3d45f7\" id=\"forminator-field-name-1_6a1529b3d45f7-label\" class=\"forminator-label\">Nome <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_6a1529b3d45f7\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6a1529b3d45f7\" id=\"forminator-field-text-1_6a1529b3d45f7-label\" class=\"forminator-label\">CPF <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_6a1529b3d45f7\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a1529b3d45f7\" id=\"forminator-field-email-1_6a1529b3d45f7-label\" class=\"forminator-label\">Endere\u00e7o de E-mail <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_6a1529b3d45f7\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a1529b3d45f7\" id=\"forminator-field-phone-1_6a1529b3d45f7-label\" class=\"forminator-label\">Telefone (Whatsapp) <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_6a1529b3d45f7\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><p data-start=\"569\" data-end=\"828\">Confirmo o recebimento digital (whatsapp e\/ou e-mail) do Laudo Psicol\u00f3gico de Avalia\u00e7\u00e3o Neuropsicol\u00f3gia, bem como a sess\u00e3o de devolutiva (por v\u00eddeo chamada ou v\u00eddeo gravado), ambos resultantes da avalia\u00e7\u00e3o neuropsicol\u00f3gica realizada pela Psic\u00f3loga e Neuropsic\u00f3loga Audrey Ruggiero Pilli - CRP 06\/188880.<\/p>\n<p data-start=\"569\" data-end=\"828\">Declaro estar ciente de que estes documentos s\u00e3o de uso <strong data-start=\"621\" data-end=\"643\">pessoal e restrito<\/strong>, destinados exclusivamente para fins cl\u00ednicos e\/ou conforme orienta\u00e7\u00e3o profissional, n\u00e3o devendo ser reproduzido, divulgado ou compartilhado sem a devida responsabilidade \u00e9tica e legal.<\/p>\n<p data-start=\"830\" data-end=\"937\">Aceito esta declara\u00e7\u00e3o por livre e espont\u00e2nea vontade, ciente da veracidade das informa\u00e7\u00f5es aqui prestadas.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_6a1529b3d45f7\" id=\"forminator-field-consent-1_6a1529b3d45f7-label\" class=\"forminator-label\">Confirmo o recebimento <span class=\"forminator-required\">*<\/span><\/label><div 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