{"id":7678,"date":"2023-09-28T11:38:41","date_gmt":"2023-09-28T16:38:41","guid":{"rendered":"https:\/\/lsom.uthscsa.edu\/pediatrics\/?page_id=7678"},"modified":"2023-09-28T11:40:20","modified_gmt":"2023-09-28T16:40:20","slug":"contact","status":"publish","type":"page","link":"https:\/\/lsom.uthscsa.edu\/pediatrics\/ccncr\/contact\/","title":{"rendered":"CCNCR Contact Us"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><p>[vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text]<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_6_container\" data-token=\"3b69d0b32462815a1dc02fef329a89d5\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_contact-us-ccncr\" data-frm-error-config=\"{&quot;includeAlertRole&quot;:false,&quot;focusFirstError&quot;:false,&quot;focusErrorSummary&quot;:true}\" data-token=\"3b69d0b32462815a1dc02fef329a89d5\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Contact Us CCNCR<\/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=\"6\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_6\" id=\"frm_hide_fields_6\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"contact-us-ccncr\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_6\" name=\"frm_submit_entry_6\" value=\"4966421277\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/pediatrics\/wp-json\/wp\/v2\/pages\/7678\" \/><div id=\"frm_field_36_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_6y86k\" id=\"field_6y86k_label\" class=\"frm_primary_label\">Record ID\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_6y86k\" name=\"item_meta[36]\" value=\"\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_37_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_onkix\" id=\"field_onkix_label\" class=\"frm_primary_label\">Date fo Request\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_onkix\" name=\"item_meta[37]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_30_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <div id=\"field_gyxhx_label\" class=\"frm_primary_label\">Principal Investigator's Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_gyxhx_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tPrincipal Investigator&#039;s Name\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_30\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_30-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_gyxhx_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tFirst\t\t\t\t<\/label>\n\n\t\t\t\t<input  type=\"text\" id=\"field_gyxhx_first\" value=\"\" name=\"item_meta[30][first]\" autocomplete=\"given-name\" data-invmsg=\"Principal Investigator&#039;s Name is invalid\" aria-invalid=\"false\"  \/><div class=\"frm_description\" id=\"frm_field_30_first_desc\">First<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_30-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_gyxhx_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tLast\t\t\t\t<\/label>\n\n\t\t\t\t<input  type=\"text\" id=\"field_gyxhx_last\" value=\"\" name=\"item_meta[30][last]\" autocomplete=\"family-name\" data-invmsg=\"Principal Investigator&#039;s Name is invalid\" aria-invalid=\"false\"  \/><div class=\"frm_description\" id=\"frm_field_30_last_desc\">Last<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_31_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_t5n2b\" id=\"field_t5n2b_label\" class=\"frm_primary_label\">Principal Investigator's Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_t5n2b\" name=\"item_meta[31]\" value=\"\"  data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_27_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <label for=\"field_29yf4d22\" id=\"field_29yf4d22_label\" class=\"frm_primary_label\">Principal Investigator's Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_29yf4d22\" name=\"item_meta[27]\" value=\"\"  data-reqmsg=\"Principal Investigator&#039;s Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please enter a valid email address\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_32_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <div id=\"field_gc5th_label\" class=\"frm_primary_label\">Point of Contact's Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_gc5th_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tPoint of Contact&#039;s Name\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_32\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_32-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_gc5th_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tFirst\t\t\t\t<\/label>\n\n\t\t\t\t<input  type=\"text\" id=\"field_gc5th_first\" value=\"\" name=\"item_meta[32][first]\" data-invmsg=\"Point of Contact&#039;s Name is invalid\" aria-invalid=\"false\"  \/><div class=\"frm_description\" id=\"frm_field_32_first_desc\">First<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_32-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_gc5th_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tLast\t\t\t\t<\/label>\n\n\t\t\t\t<input  type=\"text\" id=\"field_gc5th_last\" value=\"\" name=\"item_meta[32][last]\" data-invmsg=\"Point of Contact&#039;s Name is invalid\" aria-invalid=\"false\"  \/><div class=\"frm_description\" id=\"frm_field_32_last_desc\">Last<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_33_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_l0vkq\" id=\"field_l0vkq_label\" class=\"frm_primary_label\">Point of Contact's Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_l0vkq\" name=\"item_meta[33]\" value=\"\"  data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_34_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\">\r\n    <label for=\"field_9kzvu\" id=\"field_9kzvu_label\" class=\"frm_primary_label\">Point of Contact's Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_9kzvu\" name=\"item_meta[34]\" value=\"\"  data-reqmsg=\"Point of Contact&#039;s Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please enter a valid email address\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_38_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_vpgfx\" id=\"field_vpgfx_label\" class=\"frm_primary_label\">Division\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_vpgfx\" name=\"item_meta[38]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_39_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio frm_other_container\">\r\n    <div id=\"field_kbp2c_label\" class=\"frm_primary_label\">Type of Study\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_39-0\">\t\t\t<label >\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[39]\" id=\"field_kbp2c-0\" value=\"Clinical Trial\"\n\t\t data-invmsg=\"Type of Study is invalid\"   \/> Clinical Trial<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_39-1\">\t\t\t<label >\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[39]\" id=\"field_kbp2c-1\" value=\"Observational Study\"\n\t\t data-invmsg=\"Type of Study is invalid\"   \/> Observational Study<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_39-2\">\t\t\t<label >\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[39]\" id=\"field_kbp2c-2\" value=\"Repository\"\n\t\t data-invmsg=\"Type of Study is invalid\"   \/> Repository<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_39-other_3\">\t\t\t<label >\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[39]\" id=\"field_kbp2c-other_3\" value=\"Other\"\n\t\t data-invmsg=\"Type of Study is invalid\"   \/> Other<\/label><label for=\"field_kbp2c-other_3-otext\" class=\"frm_screen_reader frm_hidden\">Other<\/label><input type=\"text\" id=\"field_kbp2c-other_3-otext\" class=\"frm_other_input frm_pos_none\" name=\"item_meta[other][39]\" value=\"\" \/><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_40_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_nyocw\" id=\"field_nyocw_label\" class=\"frm_primary_label\">Please specify:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_nyocw\" name=\"item_meta[40]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_41_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div id=\"field_6aoog_label\" class=\"frm_primary_label\">Do you have a protocol or protocol synopsis?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_41-0\">\t\t\t<label >\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[41]\" id=\"field_6aoog-0\" value=\"Yes\"\n\t\t data-invmsg=\"Do you have a protocol or protocol synopsis? is invalid\"   \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_41-1\">\t\t\t<label >\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[41]\" id=\"field_6aoog-1\" value=\"No\"\n\t\t data-invmsg=\"Do you have a protocol or protocol synopsis? is invalid\"   \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_43_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio frm_other_container\">\r\n    <div id=\"field_r849o_label\" class=\"frm_primary_label\">What kind of support are you interested in? (select all that apply)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_43-0\">\t\t\t<label >\n\t\t\t<input type=\"checkbox\" name=\"item_meta[43][]\" id=\"field_r849o-0\" value=\"Study Startup\"  data-invmsg=\"What kind of support are you interested in? (select all that apply) is invalid\"   \/> Study Startup<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_43-1\">\t\t\t<label >\n\t\t\t<input type=\"checkbox\" name=\"item_meta[43][]\" id=\"field_r849o-1\" value=\"Regulatory Support\"  data-invmsg=\"What kind of support are you interested in? (select all that apply) is invalid\"   \/> Regulatory Support<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_43-2\">\t\t\t<label >\n\t\t\t<input type=\"checkbox\" name=\"item_meta[43][]\" id=\"field_r849o-2\" value=\"Study Coordination\"  data-invmsg=\"What kind of support are you interested in? (select all that apply) is invalid\"   \/> Study Coordination<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_43-3\">\t\t\t<label >\n\t\t\t<input type=\"checkbox\" name=\"item_meta[43][]\" id=\"field_r849o-3\" value=\"Research Assistance\"  data-invmsg=\"What kind of support are you interested in? (select all that apply) is invalid\"   \/> Research Assistance<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_43-other_4\">\t\t\t<label >\n\t\t\t<input type=\"checkbox\" name=\"item_meta[43][other_4]\" id=\"field_r849o-other_4\" value=\"Other\"  data-invmsg=\"What kind of support are you interested in? (select all that apply) is invalid\"   \/> Other<\/label><label for=\"field_r849o-other_4-otext\" class=\"frm_screen_reader frm_hidden\">Other<\/label><input type=\"text\" id=\"field_r849o-other_4-otext\" class=\"frm_other_input frm_pos_none\" name=\"item_meta[other][43][other_4]\" value=\"\" \/><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_45_container\" class=\"frm_form_field form-field \">\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"  formnovalidate=\"formnovalidate\">Submit<\/button>\r\n\r\n<\/div>\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_55_container\">\n\t\t\t<label for=\"field_20k2w\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_20k2w\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[55]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"jEibGWAf8qsok4kdYtDWzwiQzz9qHFn3TyV94MZS4UU\/Ep8\/pcKEScI6a1GikAK5\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;]\n        <div class=\"panel colorized-border border-academics single-border single-border-top\"  >\n              <div class=\"text-center\">\n              <div class=\"circle colorized-academics close2x mid-icon\"><span><i class=\"icon-uth-shield\"><\/i><\/span><\/div>\n                <h2>CCNCR Quick Links<\/h2>\n              <\/div>\n                <div class=\"loose-list line-delimited\"><\/p>\n<ul>\n<li><a href=\"https:\/\/lsom.uthscsa.edu\/pediatrics\/ccncr\/staff\/\">Meet the Staff<\/a><\/li>\n<li><a href=\"https:\/\/lsom.uthscsa.edu\/pediatrics\/ccncr\/services\/\">Services<\/a><\/li>\n<li><a href=\"https:\/\/lsom.uthscsa.edu\/pediatrics\/ccncr\/contact\/\">Contact Us<\/a><\/li>\n<\/ul>\n<p><\/div>\n            <\/div>[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text][\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":290,"featured_media":0,"parent":7643,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-7678","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - 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