{"id":93470,"date":"2026-01-15T11:57:52","date_gmt":"2026-01-15T10:57:52","guid":{"rendered":"https:\/\/www.aslroma5.it\/?page_id=93470"},"modified":"2026-01-27T14:37:20","modified_gmt":"2026-01-27T13:37:20","slug":"modulo-di-pubblica-tutela","status":"publish","type":"page","link":"https:\/\/www.aslroma5.it\/modulo-di-pubblica-tutela\/","title":{"rendered":"Modulo di pubblica tutela"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"93470\" class=\"elementor elementor-93470\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ef1574c elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"ef1574c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-523d591\" data-id=\"523d591\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f72c1bb elementor-widget elementor-widget-text-editor\" data-id=\"f72c1bb\" 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>L\u2019Azienda promuove l\u2019ascolto attivo dei cittadini come strumento di miglioramento della qualit\u00e0 dei servizi, favorendo la raccolta e la gestione di suggerimenti e reclami attraverso l\u2019Ufficio Relazioni con il Pubblico (URP), nel rispetto di quanto previsto dal <a href=\"https:\/\/www.aslroma5.it\/wp-content\/uploads\/2026\/01\/regolamento-pubblica-tutela-2026.pdf\" title=\"Regolamento Di Pubblica Tutela\" target=\"_blank\" rel=\"noopener\">Regolamento di Pubblica Tutela<\/a>.<br \/>Per garantire tempi di lavorazione rapidi, compilare ogni campo del form in modo chiaro e completo. Prima dell\u2019invio, assicurarsi di allegare tutta la documentazione richiesta.<\/p><p>In alternativa, \u00e8 possibile inviare il modulo e i relativi allegati via mail a urp@aslroma5.it.<\/p><p>L\u2019omissione o l\u2019incompletezza dei dati comporter\u00e0 l\u2019improcedibilit\u00e0 dell\u2019istanza.<\/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-4584e83 elementor-widget elementor-widget-spacer\" data-id=\"4584e83\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-edd26b4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"edd26b4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-a7d6dd2\" data-id=\"a7d6dd2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8c4652e elementor-widget elementor-widget-formidable\" data-id=\"8c4652e\" data-element_type=\"widget\" data-widget_type=\"formidable.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"frm_forms  with_frm_style frm_center_submit frm_style_stile-di-formidable\" id=\"frm_form_10_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_js_validate  frm_pro_form \" id=\"form_modulo-pubblica-tutela-asl\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Modulo di pubblica tutela<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"10\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_10\" id=\"frm_hide_fields_10\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"modulo-pubblica-tutela-asl\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_10\" name=\"frm_submit_entry_10\" value=\"3b593cabe4\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/api\/wp\/v2\/pages\/93470\" \/><div id=\"frm_field_97_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_2qt67\" id=\"field_2qt67_label\" class=\"frm_primary_label\">Motivo della richiesta\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[97]\" id=\"field_2qt67\"  data-placeholder=\"scegliere il motivo della richiesta\"  placeholder=\"scegliere il motivo della richiesta\" data-reqmsg=\"Motivo della richiesta non pu\u00f2 essere vuoto.\" aria-required=\"true\" data-invmsg=\"Motivo della richiesta non \u00e8 valido\" aria-invalid=\"false\"  >\n\t\t<option  class=\"frm-select-placeholder\" value=\"\" data-placeholder=\"true\">scegliere il motivo della richiesta<\/option><option  value=\"Reclamo \/ Denuncia\">Reclamo \/ Denuncia<\/option><option  value=\"Segnalazione\">Segnalazione<\/option><option  value=\"Opposizione\">Opposizione<\/option><option  value=\"Richiesta informazioni\">Richiesta informazioni<\/option><option  value=\"Richiesta di aiuto\">Richiesta di aiuto<\/option><option  value=\"Suggerimento \/ Proposta\">Suggerimento \/ Proposta<\/option><option  value=\"Ringraziamento \/ Elogio\">Ringraziamento \/ Elogio<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_89_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_qh4icyc86ac2487b2\" id=\"field_qh4icyc86ac2487b2_label\" class=\"frm_primary_label\">Il \/ La sottoscritto \/ a\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_qh4icyc86ac2487b2\" name=\"item_meta[89]\" value=\"\"  data-reqmsg=\"Questo campo \u00e8 obbligatorio\" aria-required=\"true\" data-invmsg=\"Name non \u00e8 valido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_90_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_29yf4d428fe65d342\" id=\"field_29yf4d428fe65d342_label\" class=\"frm_primary_label\">Nato \/ a il\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_29yf4d428fe65d342\" name=\"item_meta[90]\" value=\"\"  data-reqmsg=\"Questo campo \u00e8 obbligatorio\" aria-required=\"true\" data-invmsg=\"Indicare un indirizzo di e-mail valido\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_91_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_3a5n82\" id=\"field_3a5n82_label\" class=\"frm_primary_label\">Residente a\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_3a5n82\" name=\"item_meta[91]\" value=\"\"  data-reqmsg=\"Residente a non pu\u00f2 essere vuoto.\" aria-required=\"true\" data-invmsg=\"Testo non \u00e8 valido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_98_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_2lsfy\" id=\"field_2lsfy_label\" class=\"frm_primary_label\">Via\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_2lsfy\" name=\"item_meta[98]\" value=\"\"  data-reqmsg=\"Via non pu\u00f2 essere vuoto.\" aria-required=\"true\" data-invmsg=\"Testo non \u00e8 valido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_99_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_o9lma\" id=\"field_o9lma_label\" class=\"frm_primary_label\">N.\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_o9lma\" name=\"item_meta[99]\" value=\"\"  data-reqmsg=\"N. non pu\u00f2 essere vuoto.\" aria-required=\"true\" data-invmsg=\"Testo non \u00e8 valido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_101_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_minop\" id=\"field_minop_label\" class=\"frm_primary_label\">Contatto telefonico\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_minop\" name=\"item_meta[101]\" value=\"\"  data-reqmsg=\"Contatto telefonico non pu\u00f2 essere vuoto.\" aria-required=\"true\" data-invmsg=\"Testo non \u00e8 valido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_100_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_gj2xe\" id=\"field_gj2xe_label\" class=\"frm_primary_label\">E-mail\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_gj2xe\" name=\"item_meta[100]\" value=\"\"  data-reqmsg=\"E-mail non pu\u00f2 essere vuoto.\" aria-required=\"true\" data-invmsg=\"Testo non \u00e8 valido\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_104_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\n\t<div  id=\"field_bxwv3_label\" class=\"frm_primary_label\">\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/div>\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_bxwv3_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_104-0\">\t\t\t<label  for=\"field_bxwv3-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[104]\" id=\"field_bxwv3-0\" value=\"diretto interessato\"\n\t\t   data-reqmsg=\"Questo campo non pu\u00f2 essere vuoto.\" data-invmsg=\"Questo campo non \u00e8 valido\" aria-invalid=\"false\"  \/> diretto interessato<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_104-1\">\t\t\t<label  for=\"field_bxwv3-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[104]\" id=\"field_bxwv3-1\" value=\"altro (specificare il rapporto\/parentela)\"\n\t\t   data-reqmsg=\"Questo campo non pu\u00f2 essere vuoto.\" data-invmsg=\"Questo campo non \u00e8 valido\" aria-invalid=\"false\"  \/> altro (specificare il rapporto\/parentela)<\/label><\/div>\n<\/div>\n\t\n\t\n<\/div>\n<div id=\"frm_field_106_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\n\t<label for=\"field_ptsj3\" id=\"field_ptsj3_label\" class=\"frm_primary_label\">Luogo in cui si \u00e8 verificato l'evento\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input  type=\"text\" id=\"field_ptsj3\" name=\"item_meta[106]\" value=\"\"  placeholder=\"indicare Presidio\/Ospedale\/Dipartimento e reparto\/ambulatorio\" data-reqmsg=\"Luogo in cui si \u00e8 verificato l&#039;evento non pu\u00f2 essere vuoto.\" aria-required=\"true\" data-invmsg=\"Luogo in cui si \u00e8 verificato l&#039;evento non \u00e8 valido\" aria-invalid=\"false\"   \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_107_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\n\t<label for=\"field_4airx\" id=\"field_4airx_label\" class=\"frm_primary_label\">Data dell'evento\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input type=\"text\" id=\"field_4airx\" name=\"item_meta[107]\" value=\"\"  maxlength=\"10\" data-reqmsg=\"Data dell&#039;evento non pu\u00f2 essere vuoto.\" aria-required=\"true\" data-invmsg=\"Data dell&#039;evento non \u00e8 valido\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_108_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\n\t<label for=\"field_njczq\" id=\"field_njczq_label\" class=\"frm_primary_label\">Descrizione e ogni altra informazione utile\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<textarea name=\"item_meta[108]\" id=\"field_njczq\" rows=\"5\"  data-reqmsg=\"Descrizione e ogni altra informazione utile non pu\u00f2 essere vuoto.\" aria-required=\"true\" data-invmsg=\"Descrizione e ogni altra informazione utile non \u00e8 valido\" aria-invalid=\"false\"  ><\/textarea>\n\t\n\t\n<\/div>\n<div id=\"frm_field_102_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n\t<label for=\"field_hbeir\" id=\"field_hbeir_label\" class=\"frm_primary_label\">Allegare copia del documento di riconoscimento\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"hidden\"  data-reqmsg=\"Allegare copia del documento di riconoscimento non pu\u00f2 essere vuoto.\" data-invmsg=\"Allegare copia del documento di riconoscimento non \u00e8 valido\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[102]\"  data-reqmsg=\"Allegare copia del documento di riconoscimento non pu\u00f2 essere vuoto.\"  value=\"\" data-frmfile=\"102\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file102_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file102\" id=\"field_hbeir\"\n\t\t\t data-reqmsg=\"Allegare copia del documento di riconoscimento non pu\u00f2 essere vuoto.\" data-invmsg=\"Allegare copia del documento di riconoscimento non \u00e8 valido\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Allegare copia del documento di riconoscimento. Trascina qui il tuo file o fai clic per caricarlo. Dimensione massima del file: 5MB\">Trascina qui il tuo file o fai clic per caricarlo<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Allegare copia del documento di riconoscimento. Scegli file. Dimensione massima del file: 5MB\">Scegli file<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Dimensione massima del file: 5MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_113_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm12\">\n\t<label for=\"field_haja7\" id=\"field_haja7_label\" class=\"frm_primary_label\">Allegare modulo di delega\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input type=\"hidden\"  data-reqmsg=\"Allegare modulo di delega non pu\u00f2 essere vuoto.\" data-invmsg=\"Allegare modulo di delega non \u00e8 valido\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[113]\"  data-reqmsg=\"Allegare modulo di delega non pu\u00f2 essere vuoto.\"  value=\"\" data-frmfile=\"113\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file113_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file113\" id=\"field_haja7\"\n\t\t\t data-reqmsg=\"Allegare modulo di delega non pu\u00f2 essere vuoto.\" data-invmsg=\"Allegare modulo di delega non \u00e8 valido\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Allegare modulo di delega. Trascina qui il tuo file o fai clic per caricarlo. Dimensione massima del file: 5MB\">Trascina qui il tuo file o fai clic per caricarlo<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Allegare modulo di delega. Scegli file. Dimensione massima del file: 5MB\">Scegli file<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Dimensione massima del file: 5MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\n\t\n\t\n<\/div>\n<div id=\"frm_field_117_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm12\">\n\t<label for=\"field_obz6t\" id=\"field_obz6t_label\" class=\"frm_primary_label\">Allegare modulo di delega\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input type=\"hidden\"  data-reqmsg=\"Allegare modulo di delega non pu\u00f2 essere vuoto.\" data-invmsg=\"Allegare modulo di delega non \u00e8 valido\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[117]\"  data-reqmsg=\"Allegare modulo di delega non pu\u00f2 essere vuoto.\"  value=\"\" data-frmfile=\"117\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file117_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file117\" id=\"field_obz6t\"\n\t\t\t data-reqmsg=\"Allegare modulo di delega non pu\u00f2 essere vuoto.\" data-invmsg=\"Allegare modulo di delega non \u00e8 valido\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Allegare modulo di delega. Trascina qui il tuo file o fai clic per caricarlo. Dimensione massima del file: 5MB\">Trascina qui il tuo file o fai clic per caricarlo<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Allegare modulo di delega. Scegli file. Dimensione massima del file: 5MB\">Scegli file<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Dimensione massima del file: 5MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\n\t\n\t\n<\/div>\n<div id=\"frm_field_114_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm12\">\n\t<label for=\"field_w0hpq\" id=\"field_w0hpq_label\" class=\"frm_primary_label\">Allegare modulo di delega\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input type=\"hidden\"  data-reqmsg=\"Allegare modulo di delega non pu\u00f2 essere vuoto.\" data-invmsg=\"Allegare modulo di delega non \u00e8 valido\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[114]\"  data-reqmsg=\"Allegare modulo di delega non pu\u00f2 essere vuoto.\"  value=\"\" data-frmfile=\"114\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file114_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file114\" id=\"field_w0hpq\"\n\t\t\t data-reqmsg=\"Allegare modulo di delega non pu\u00f2 essere vuoto.\" data-invmsg=\"Allegare modulo di delega non \u00e8 valido\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Allegare modulo di delega. Trascina qui il tuo file o fai clic per caricarlo. Dimensione massima del file: 5MB\">Trascina qui il tuo file o fai clic per caricarlo<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Allegare modulo di delega. Scegli file. Dimensione massima del file: 5MB\">Scegli file<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Dimensione massima del file: 5MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\n\t\n\t\n<\/div>\n<div id=\"frm_field_118_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm12\">\n\t<label for=\"field_mwp08\" id=\"field_mwp08_label\" class=\"frm_primary_label\">Allegare modulo di delega\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input type=\"hidden\"  data-reqmsg=\"Allegare modulo di delega non pu\u00f2 essere vuoto.\" data-invmsg=\"Allegare modulo di delega non \u00e8 valido\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[118]\"  data-reqmsg=\"Allegare modulo di delega non pu\u00f2 essere vuoto.\"  value=\"\" data-frmfile=\"118\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file118_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file118\" id=\"field_mwp08\"\n\t\t\t data-reqmsg=\"Allegare modulo di delega non pu\u00f2 essere vuoto.\" data-invmsg=\"Allegare modulo di delega non \u00e8 valido\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Allegare modulo di delega. Trascina qui il tuo file o fai clic per caricarlo. Dimensione massima del file: 5MB\">Trascina qui il tuo file o fai clic per caricarlo<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Allegare modulo di delega. Scegli file. Dimensione massima del file: 5MB\">Scegli file<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Dimensione massima del file: 5MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\n\t\n\t\n<\/div>\n<div id=\"frm_field_116_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\n\t<label for=\"field_1cdst\" id=\"field_1cdst_label\" class=\"frm_primary_label\">Allegare copia del documento del delegato\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input type=\"hidden\"  data-reqmsg=\"Allegare copia del documento del delegato non pu\u00f2 essere vuoto.\" data-invmsg=\"Allegare copia del documento del delegato non \u00e8 valido\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[116]\"  data-reqmsg=\"Allegare copia del documento del delegato non pu\u00f2 essere vuoto.\"  value=\"\" data-frmfile=\"116\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file116_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file116\" id=\"field_1cdst\"\n\t\t\t data-reqmsg=\"Allegare copia del documento del delegato non pu\u00f2 essere vuoto.\" data-invmsg=\"Allegare copia del documento del delegato non \u00e8 valido\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Allegare copia del documento del delegato. Trascina qui il tuo file o fai clic per caricarlo. Dimensione massima del file: 5MB\">Trascina qui il tuo file o fai clic per caricarlo<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Allegare copia del documento del delegato. Scegli file. Dimensione massima del file: 5MB\">Scegli file<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Dimensione massima del file: 5MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\n\t\n\t\n<\/div>\n<div id=\"frm_field_120_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\n\t<label for=\"field_d8l6t\" id=\"field_d8l6t_label\" class=\"frm_primary_label\">Allegare copia del documento del delegato\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input type=\"hidden\"  data-reqmsg=\"Allegare copia del documento del delegato non pu\u00f2 essere vuoto.\" data-invmsg=\"Allegare copia del documento del delegato non \u00e8 valido\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[120]\"  data-reqmsg=\"Allegare copia del documento del delegato non pu\u00f2 essere vuoto.\"  value=\"\" data-frmfile=\"120\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file120_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file120\" id=\"field_d8l6t\"\n\t\t\t data-reqmsg=\"Allegare copia del documento del delegato non pu\u00f2 essere vuoto.\" data-invmsg=\"Allegare copia del documento del delegato non \u00e8 valido\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Allegare copia del documento del delegato. Trascina qui il tuo file o fai clic per caricarlo. Dimensione massima del file: 5MB\">Trascina qui il tuo file o fai clic per caricarlo<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Allegare copia del documento del delegato. Scegli file. Dimensione massima del file: 5MB\">Scegli file<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Dimensione massima del file: 5MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\n\t\n\t\n<\/div>\n<div id=\"frm_field_121_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\n\t<label for=\"field_ei59q\" id=\"field_ei59q_label\" class=\"frm_primary_label\">Allegare copia del documento del delegato\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input type=\"hidden\"  data-reqmsg=\"Allegare copia del documento del delegato non pu\u00f2 essere vuoto.\" data-invmsg=\"Allegare copia del documento del delegato non \u00e8 valido\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[121]\"  data-reqmsg=\"Allegare copia del documento del delegato non pu\u00f2 essere vuoto.\"  value=\"\" data-frmfile=\"121\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file121_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file121\" id=\"field_ei59q\"\n\t\t\t data-reqmsg=\"Allegare copia del documento del delegato non pu\u00f2 essere vuoto.\" data-invmsg=\"Allegare copia del documento del delegato non \u00e8 valido\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Allegare copia del documento del delegato. Trascina qui il tuo file o fai clic per caricarlo. Dimensione massima del file: 5MB\">Trascina qui il tuo file o fai clic per caricarlo<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Allegare copia del documento del delegato. Scegli file. Dimensione massima del file: 5MB\">Scegli file<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Dimensione massima del file: 5MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\n\t\n\t\n<\/div>\n<div id=\"frm_field_122_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\n\t<label for=\"field_pu0n1\" id=\"field_pu0n1_label\" class=\"frm_primary_label\">Allegare copia del documento del delegato\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input type=\"hidden\"  data-reqmsg=\"Allegare copia del documento del delegato non pu\u00f2 essere vuoto.\" data-invmsg=\"Allegare copia del documento del delegato non \u00e8 valido\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[122]\"  data-reqmsg=\"Allegare copia del documento del delegato non pu\u00f2 essere vuoto.\"  value=\"\" data-frmfile=\"122\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file122_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file122\" id=\"field_pu0n1\"\n\t\t\t data-reqmsg=\"Allegare copia del documento del delegato non pu\u00f2 essere vuoto.\" data-invmsg=\"Allegare copia del documento del delegato non \u00e8 valido\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Allegare copia del documento del delegato. Trascina qui il tuo file o fai clic per caricarlo. Dimensione massima del file: 5MB\">Trascina qui il tuo file o fai clic per caricarlo<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Allegare copia del documento del delegato. Scegli file. Dimensione massima del file: 5MB\">Scegli file<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Dimensione massima del file: 5MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\n\t\n\t\n<\/div>\n<div id=\"frm_field_109_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_sixth\">\n\t<label for=\"field_m0m9r\" id=\"field_m0m9r_label\" class=\"frm_primary_label\">Data\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input type=\"text\" id=\"field_m0m9r\" name=\"item_meta[109]\" value=\"\"  maxlength=\"10\" data-reqmsg=\"Data non pu\u00f2 essere vuoto.\" aria-required=\"true\" data-invmsg=\"Data non \u00e8 valido\" class=\"frm_date\" aria-invalid=\"false\"  \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_94_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container checkPrivacy frm12 frm_first vertical_radio\">\r\n    <div  id=\"field_ue2ne2_label\" class=\"frm_primary_label\">\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_ue2ne2_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_94-0\">\t\t\t<label  for=\"field_ue2ne2-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[94][]\" id=\"field_ue2ne2-0\" value=\"Io sottoscritto, presa visione delle informazioni privacy, ACCONSENTO al trattamento dei miei dati personali inseriti nel presente form elettronico da parte della ASL Roma 5.\"  data-reqmsg=\"Questo campo \u00e8 obbligatorio\" data-invmsg=\"Questo campo non \u00e8 valido\" aria-invalid=\"false\"   aria-required=\"true\"  \/> Io sottoscritto, presa visione delle informazioni privacy, ACCONSENTO al trattamento dei miei dati personali inseriti nel presente form elettronico da parte della ASL Roma 5.<\/label><\/div>\n<\/div>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_ue2ne2\"><a href=\"https:\/\/www.aslroma5.it\/wp-content\/uploads\/2026\/01\/informativa-privacy-pubblica-tutela-2026.pdf\" title=\"Informativa Privacy Pubblica Tutela\" title=\"\" title=\"Privacy E GDPR\">Privacy e GDPR<\/a><\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_95_container\" class=\"frm_form_field form-field  frm_none_container\">\r\n\t<label for=\"g-recaptcha-response\" id=\"field_zd3yl2_label\" class=\"frm_primary_label\">Captcha\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<div  id=\"field_zd3yl2\" class=\"g-recaptcha\" data-sitekey=\"6LdeXeArAAAAALK_CYgpys2Pf8-fgiHOx-jDL_Qd\" data-size=\"invisible\" data-theme=\"light\" data-callback=\"frmAfterRecaptcha\"><\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_96_container\" class=\"frm_form_field form-field  frm12 frm_first\">\r\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">Invia<\/button>\r\n\r\n<\/div>\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_123_container\">\n\t\t\t<label for=\"field_bt9s2\" >\n\t\t\t\tSe sei un essere umano, lascia questo campo vuoto.\t\t\t<\/label>\n\t\t\t<input  id=\"field_bt9s2\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[123]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"q3pHNMmBFGonbEVH+l5TYH1O9IU8sUm1AuvbkWGijcWnkuGvHXyQlEOM4i2xwbCY\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e982d39 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"e982d39\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-553a4cb elementor-widget elementor-widget-text-editor\" data-id=\"553a4cb\" 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><strong>NOTE<\/strong><\/p>\n<p>Il modulo va compilato e inviato <b>entro 15 giorni dal momento in cui si \u00e8 verificato l\u2019evento<\/b>.<\/p>\n<p>La presentazione di richieste di informazioni, suggerimenti\/proposte, ringraziamenti\/elogi non prevede la trasmissione della copia del documento di identit\u00e0.<\/p>\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<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-86bb3cb\" data-id=\"86bb3cb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-ce18269\" data-id=\"ce18269\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ea1d50a elementor-align-left elementor-widget elementor-widget-the7_icon_widget\" data-id=\"ea1d50a\" data-element_type=\"widget\" data-widget_type=\"the7_icon_widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"the7-icon-wrapper the7-elementor-widget\"><div class=\"elementor-icon\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 640 640\"><path d=\"M297.4 598.6C309.9 611.1 330.2 611.1 342.7 598.6L470.7 470.6C483.2 458.1 483.2 437.8 470.7 425.3C458.2 412.8 437.9 412.8 425.4 425.3L352 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class=\"elementor-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 640 640\"><path d=\"M128 64C92.7 64 64 92.7 64 128L64 512C64 547.3 92.7 576 128 576L208 576L208 464C208 428.7 236.7 400 272 400L448 400L448 234.5C448 217.5 441.3 201.2 429.3 189.2L322.7 82.7C310.7 70.7 294.5 64 277.5 64L128 64zM389.5 240L296 240C282.7 240 272 229.3 272 216L272 122.5L389.5 240zM272 444C261 444 252 453 252 464L252 592C252 603 261 612 272 612C283 612 292 603 292 592L292 564L304 564C337.1 564 364 537.1 364 504C364 470.9 337.1 444 304 444L272 444zM304 524L292 524L292 484L304 484C315 484 324 493 324 504C324 515 315 524 304 524zM400 444C389 444 380 453 380 464L380 592C380 603 389 612 400 612L432 612C460.7 612 484 588.7 484 560L484 496C484 467.3 460.7 444 432 444L400 444zM420 572L420 484L432 484C438.6 484 444 489.4 444 496L444 560C444 566.6 438.6 572 432 572L420 572zM508 464L508 592C508 603 517 612 528 612C539 612 548 603 548 592L548 548L576 548C587 548 596 539 596 528C596 517 587 508 576 508L548 508L548 484L576 484C587 484 596 475 596 464C596 453 587 444 576 444L528 444C517 444 508 453 508 464z\"><\/path><\/svg>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/a>\t\t\t\t\t\t\t\t<div class=\"box-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"box-heading\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/www.aslroma5.it\/wp-content\/uploads\/2026\/01\/modello-pubblica-tutela-2026.pdf\" title=\"Modello Di Pubblica Tutela\" target=\"_blank\">\t\t\t\t\t\t\t\tModello di pubblica tutela\t\t\t\t\t\t\t<\/a>\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-665e126 content-align-left icon-box-vertical-align-top icon-position-left icon-vertical-align-start elementor-widget elementor-widget-the7_icon_box_widget\" data-id=\"665e126\" data-element_type=\"widget\" data-widget_type=\"the7_icon_box_widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<div class=\"the7-box-wrapper the7-elementor-widget the7_icon_box_widget-665e126\">\t\t\t<div class=\"box-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<a class=\"elementor-icon-div\" href=\"https:\/\/www.aslroma5.it\/wp-content\/uploads\/2026\/01\/modulo-delega-pubblica-tutela-2026.pdf\" title=\"Modulo Delega\" target=\"_blank\">\t\t\t\t\t\t<div class=\"elementor-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 640 640\"><path d=\"M128 64C92.7 64 64 92.7 64 128L64 512C64 547.3 92.7 576 128 576L208 576L208 464C208 428.7 236.7 400 272 400L448 400L448 234.5C448 217.5 441.3 201.2 429.3 189.2L322.7 82.7C310.7 70.7 294.5 64 277.5 64L128 64zM389.5 240L296 240C282.7 240 272 229.3 272 216L272 122.5L389.5 240zM272 444C261 444 252 453 252 464L252 592C252 603 261 612 272 612C283 612 292 603 292 592L292 564L304 564C337.1 564 364 537.1 364 504C364 470.9 337.1 444 304 444L272 444zM304 524L292 524L292 484L304 484C315 484 324 493 324 504C324 515 315 524 304 524zM400 444C389 444 380 453 380 464L380 592C380 603 389 612 400 612L432 612C460.7 612 484 588.7 484 560L484 496C484 467.3 460.7 444 432 444L400 444zM420 572L420 484L432 484C438.6 484 444 489.4 444 496L444 560C444 566.6 438.6 572 432 572L420 572zM508 464L508 592C508 603 517 612 528 612C539 612 548 603 548 592L548 548L576 548C587 548 596 539 596 528C596 517 587 508 576 508L548 508L548 484L576 484C587 484 596 475 596 464C596 453 587 444 576 444L528 444C517 444 508 453 508 464z\"><\/path><\/svg>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/a>\t\t\t\t\t\t\t\t<div class=\"box-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"box-heading\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/www.aslroma5.it\/wp-content\/uploads\/2026\/01\/modulo-delega-pubblica-tutela-2026.pdf\" title=\"Modulo Delega\" target=\"_blank\">\t\t\t\t\t\t\t\tModulo delega\t\t\t\t\t\t\t<\/a>\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aa70f7e elementor-widget elementor-widget-spacer\" data-id=\"aa70f7e\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7870c5c content-align-left icon-box-vertical-align-top icon-position-left icon-vertical-align-start elementor-widget elementor-widget-the7_icon_box_widget\" data-id=\"7870c5c\" data-element_type=\"widget\" data-widget_type=\"the7_icon_box_widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<div class=\"the7-box-wrapper the7-elementor-widget the7_icon_box_widget-7870c5c\">\t\t\t<div class=\"box-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<a class=\"elementor-icon-div\" href=\"https:\/\/www.aslroma5.it\/wp-content\/uploads\/2026\/01\/informativa-privacy-pubblica-tutela-2026.pdf\" title=\"Informativa Privacy Pubblica Tutela\" title=\"\" title=\"Privacy E GDPR\" target=\"_blank\">\t\t\t\t\t\t<div class=\"elementor-icon\">\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 640 640\"><path d=\"M128 64C92.7 64 64 92.7 64 128L64 512C64 547.3 92.7 576 128 576L208 576L208 464C208 428.7 236.7 400 272 400L448 400L448 234.5C448 217.5 441.3 201.2 429.3 189.2L322.7 82.7C310.7 70.7 294.5 64 277.5 64L128 64zM389.5 240L296 240C282.7 240 272 229.3 272 216L272 122.5L389.5 240zM272 444C261 444 252 453 252 464L252 592C252 603 261 612 272 612C283 612 292 603 292 592L292 564L304 564C337.1 564 364 537.1 364 504C364 470.9 337.1 444 304 444L272 444zM304 524L292 524L292 484L304 484C315 484 324 493 324 504C324 515 315 524 304 524zM400 444C389 444 380 453 380 464L380 592C380 603 389 612 400 612L432 612C460.7 612 484 588.7 484 560L484 496C484 467.3 460.7 444 432 444L400 444zM420 572L420 484L432 484C438.6 484 444 489.4 444 496L444 560C444 566.6 438.6 572 432 572L420 572zM508 464L508 592C508 603 517 612 528 612C539 612 548 603 548 592L548 548L576 548C587 548 596 539 596 528C596 517 587 508 576 508L548 508L548 484L576 484C587 484 596 475 596 464C596 453 587 444 576 444L528 444C517 444 508 453 508 464z\"><\/path><\/svg>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/a>\t\t\t\t\t\t\t\t<div class=\"box-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"box-heading\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/www.aslroma5.it\/wp-content\/uploads\/2026\/01\/informativa-privacy-pubblica-tutela-2026.pdf\" title=\"Informativa Privacy Pubblica Tutela\" title=\"\" title=\"Privacy E GDPR\" target=\"_blank\">\t\t\t\t\t\t\t\tInformativa privacy pubblica tutela\t\t\t\t\t\t\t<\/a>\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>L\u2019Azienda promuove l\u2019ascolto attivo dei cittadini come strumento di miglioramento della qualit\u00e0 dei servizi, favorendo la raccolta e la gestione di suggerimenti e reclami attraverso l\u2019Ufficio Relazioni con il Pubblico (URP), nel rispetto di quanto previsto dal Regolamento di Pubblica Tutela.Per garantire tempi di lavorazione rapidi, compilare ogni campo del form in modo chiaro e&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-93470","page","type-page","status-publish","hentry"],"acf":{"galleria":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Modulo di pubblica tutela - ASL ROMA 5<\/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:\/\/www.aslroma5.it\/modulo-di-pubblica-tutela\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Modulo di pubblica tutela - ASL ROMA 5\" \/>\n<meta property=\"og:description\" content=\"L\u2019Azienda promuove l\u2019ascolto attivo dei cittadini come strumento di miglioramento della qualit\u00e0 dei servizi, favorendo la raccolta e la gestione di suggerimenti e reclami attraverso l\u2019Ufficio Relazioni con il Pubblico (URP), nel rispetto di quanto previsto dal Regolamento di Pubblica Tutela.Per garantire tempi di lavorazione rapidi, compilare ogni campo del form in modo chiaro e&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.aslroma5.it\/modulo-di-pubblica-tutela\/\" \/>\n<meta property=\"og:site_name\" content=\"ASL ROMA 5\" \/>\n<meta property=\"article:modified_time\" content=\"2026-01-27T13:37:20+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Tempo di lettura stimato\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minuti\" \/>\n<script type=\"application\/ld+json\" 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