{"id":314,"date":"2022-07-21T13:41:03","date_gmt":"2022-07-21T17:41:03","guid":{"rendered":"https:\/\/www.bumc.bu.edu\/evalue\/?page_id=314"},"modified":"2023-06-16T11:00:55","modified_gmt":"2023-06-16T15:00:55","slug":"medhub-support-tickets","status":"publish","type":"page","link":"https:\/\/www.bumc.bu.edu\/evalue\/medhub-support-tickets\/","title":{"rendered":"<img src=\"\/evalue\/files\/2022\/07\/medhub_support.jpg\" alt=\"\" width=\"382\" height=\"68\" class=\"alignnone size-full wp-image-342\" \/>"},"content":{"rendered":"<h2>MedHub Support Ticket<span style=\"color: #ff0000;\"><\/span><\/h2>\n<h3><span style=\"color: #ff0000;\"><strong>Please submit the support ticket below for MedHub Support<br \/>\n<\/strong><\/span><\/h3>\n<div class=\"bu_collapsible_container \" aria-live=\"polite\" data-customize-animation=\"false\"><h3 class=\"bu_collapsible\" aria-expanded=\"false\"tabindex=\"0\" role=\"button\">MedHub PRECEPTOR PROFILE ADDITION REQUEST<\/h3><div class=\"bu_collapsible_section\" style=\"display: none;\"><\/p>\n<p><script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_4' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">MedHub PRECEPTOR PROFILE ADDITION REQUEST<\/h3>\n                            <p class='gform_description'>Please provide the following information if you would like to request the addition of a preceptor's profile to MedHub.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/evalue\/wp-json\/wp\/v2\/pages\/314' data-formid='4' >\n                        <div class='gform-body gform_body'><ul id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_4_20\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_20\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Your Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_20'>\n                            \n                            <span id='input_4_20_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_20.3' id='input_4_20_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_20_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_20_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_20.6' id='input_4_20_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_20_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_4_21\"  class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_21\"><label class='gfield_label gform-field-label' for='input_4_21' >Your Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_21' id='input_4_21' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_4_12\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_12\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_4_45\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_45\"><h4><span style=\"color: #ff0000;\">If you have more than 2 Preceptor Profiles to request at one time, please use <a href=\"\/evalue\/files\/2023\/06\/MedHub_Faculty_Profile_Upload_v2.0.xlsx\">this template<\/a> and upload below.<\/span><\/h4><p>\n<h5>If there is a \"bu.edu\" email address applicable for this preceptor, please provide.<\/h5><p>\n<h5>Preceptor preferred email address must be an institutional email (e.g. University, Hospital). Gmail, Yahoo, and similar personal email addresses will not be accepted.<\/h5><\/li><li id=\"field_4_43\"  class=\"gfield gfield--type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_43\"><label class='gfield_label gform-field-label' for='input_4_43' >File<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='104857600' \/><input name='input_43' id='input_4_43' type='file' class='large' aria-describedby=\"gfield_upload_rules_4_43\" onchange='javascript:gformValidateFileSize( this, 104857600 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_4_43'>Accepted file types: xlsx, xls, Max. file size: 100 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_4_43'><\/div><\/div><\/li><li id=\"field_4_29\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_29\"><label class='gfield_label gform-field-label'  >How many preceptor profiles are you requesting?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_29'>\n\t\t\t<li class='gchoice gchoice_4_29_0'>\n\t\t\t\t<input name='input_29' type='radio' value='1'  id='choice_4_29_0'    \/>\n\t\t\t\t<label for='choice_4_29_0' id='label_4_29_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_29_1'>\n\t\t\t\t<input name='input_29' type='radio' value='2'  id='choice_4_29_1'    \/>\n\t\t\t\t<label for='choice_4_29_1' id='label_4_29_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_29_2'>\n\t\t\t\t<input name='input_29' type='radio' value='3 or more (file upload)'  id='choice_4_29_2'    \/>\n\t\t\t\t<label for='choice_4_29_2' id='label_4_29_2' class='gform-field-label gform-field-label--type-inline'>3 or more (file upload)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_42\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_42\"><h2 class=\"gsection_title\">Preceptor #1<\/h2><\/li><li id=\"field_4_17\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_17\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Preceptor Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_4_17'>\n                            \n                            <span id='input_4_17_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_17.3' id='input_4_17_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_17_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_17_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_17.6' id='input_4_17_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_17_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <span id='input_4_17_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_17.8' id='input_4_17_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_17_8' class='gform-field-label gform-field-label--type-sub '>Credential (ex. MD, NP, PA, PhD)<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id=\"field_4_37\"  class=\"gfield gfield--type-email gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_37\"><label class='gfield_label gform-field-label' for='input_4_37' >Preceptor BU Email Address<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_37' id='input_4_37' type='text' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_4_26\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_26\"><b><font color=\"red\">\nIf there is a \"bu.edu\" email address applicable for this preceptor, please provide above<\/font>\n<\/b><\/li><li id=\"field_4_24\"  class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_24\"><label class='gfield_label gform-field-label' for='input_4_24' >Preceptor Preferred Institutional\/Work Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_24' id='input_4_24' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_4_27\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_27\"><b><font color=\"red\">\nPreceptor email address must be an institutional email (e.g. University, Hospital). Gmail, Yahoo, and similar personal email addresses will not be accepted.<\/font>\n<\/b><\/li><li id=\"field_4_19\"  class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_19\"><label class='gfield_label gform-field-label' for='input_4_19' >Preceptor Rank<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_4_19' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Resident Educator' >Resident Educator<\/option><option value='Attending' >Attending<\/option><\/select><\/div><\/li><li id=\"field_4_8\"  class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_8\"><label class='gfield_label gform-field-label' for='input_4_8' >Clinical Rotation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_4_8' class='medium gfield_select'  aria-describedby=\"gfield_description_4_8\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Emergency Medicine Clerkship Selective' >Emergency Medicine Clerkship Selective<\/option><option value='Family Medicine Clerkship' >Family Medicine Clerkship<\/option><option value='Geriatrics Clerkship' >Geriatrics Clerkship<\/option><option value='Medicine 1 Clerkship' >Medicine 1 Clerkship<\/option><option value='Neurology Clerkship' >Neurology Clerkship<\/option><option value='Obstetrics\/Gynecology Clerkship' >Obstetrics\/Gynecology Clerkship<\/option><option value='Pediatrics Clerkship' >Pediatrics Clerkship<\/option><option value='Psychiatry Clerkship' >Psychiatry Clerkship<\/option><option value='Radiology Clerkship Selective' >Radiology Clerkship Selective<\/option><option value='Surgery Clerkship' >Surgery Clerkship<\/option><option value='Ambulatory Medicine - Clinical Elective' >Ambulatory Medicine - Clinical Elective<\/option><option value='Surgery Subspecialty \u2013 Clinical Elective' >Surgery Subspecialty \u2013 Clinical Elective<\/option><option value='Other' >Other<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_4_8'>Please select the Clinical Rotation you would like this preceptor to be available for.<\/div><\/li><li id=\"field_4_23\"  class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_23\"><label class='gfield_label gform-field-label' for='input_4_23' >Clinical Rotation (Other)<\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_4_23' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_28\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_28\"><label class='gfield_label gform-field-label' for='input_4_28' >Location of Clinical Rotation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_4_28' type='text' value='' class='medium'  aria-describedby=\"gfield_description_4_28\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_4_28'>Please enter the Preceptor's clinical rotation site\/location name.<\/div><\/li><li id=\"field_4_41\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_41\"><h2 class=\"gsection_title\">Preceptor #2<\/h2><\/li><li id=\"field_4_38\"  class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_38\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Preceptor Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_4_38'>\n                            \n                            <span id='input_4_38_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_38.3' id='input_4_38_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_38_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_38_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_38.6' id='input_4_38_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_38_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <span id='input_4_38_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_38.8' id='input_4_38_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_38_8' class='gform-field-label gform-field-label--type-sub '>Credential (ex. MD, NP, PA, PhD)<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id=\"field_4_18\"  class=\"gfield gfield--type-email gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_18\"><label class='gfield_label gform-field-label' for='input_4_18' >Preceptor BU Email Address<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_18' id='input_4_18' type='text' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_4_36\"  class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_36\"><label class='gfield_label gform-field-label' for='input_4_36' >Preceptor Preferred Institutional\/Work Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_36' id='input_4_36' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_4_35\"  class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_35\"><label class='gfield_label gform-field-label' for='input_4_35' >Preceptor Rank<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_35' id='input_4_35' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Resident Educator' >Resident Educator<\/option><option value='Attending' >Attending<\/option><\/select><\/div><\/li><li id=\"field_4_34\"  class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_34\"><label class='gfield_label gform-field-label' for='input_4_34' >Clinical Rotation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_34' id='input_4_34' class='medium gfield_select'  aria-describedby=\"gfield_description_4_34\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Emergency Medicine Clerkship Selective' >Emergency Medicine Clerkship Selective<\/option><option value='Family Medicine Clerkship' >Family Medicine Clerkship<\/option><option value='Geriatrics Clerkship' >Geriatrics Clerkship<\/option><option value='Medicine 1 Clerkship' >Medicine 1 Clerkship<\/option><option value='Neurology Clerkship' >Neurology Clerkship<\/option><option value='Obstetrics\/Gynecology Clerkship' >Obstetrics\/Gynecology Clerkship<\/option><option value='Pediatrics Clerkship' >Pediatrics Clerkship<\/option><option value='Psychiatry Clerkship' >Psychiatry Clerkship<\/option><option value='Radiology Clerkship Selective' >Radiology Clerkship Selective<\/option><option value='Surgery Clerkship' >Surgery Clerkship<\/option><option value='Ambulatory Medicine - Clinical Elective' >Ambulatory Medicine - Clinical Elective<\/option><option value='Surgery Subspecialty \u2013 Clinical Elective' >Surgery Subspecialty \u2013 Clinical Elective<\/option><option value='Other' >Other<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_4_34'>Please select the Clinical Rotation you would like this preceptor to be available for.<\/div><\/li><li id=\"field_4_33\"  class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_33\"><label class='gfield_label gform-field-label' for='input_4_33' >Clinical Rotation (Other)<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_4_33' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_32\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_32\"><label class='gfield_label gform-field-label' for='input_4_32' >Location of Clinical Rotation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_4_32' type='text' value='' class='medium'  aria-describedby=\"gfield_description_4_32\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_4_32'>Please enter the Preceptor's clinical rotation site\/location name.<\/div><\/li><li id=\"field_4_13\"  class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_13\"><label class='gfield_label gform-field-label' for='input_4_13' >Additional Information?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_4_13' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_4_46\"  class=\"gfield gfield--type-section gsection bu_google_recaptcha_section field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_46\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_4_47\"  class=\"gfield gfield--type-html bu_google_recaptcha gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_47\"><div class=\"g-recaptcha\" data-sitekey=\"6LeGxkEjAAAAAK4nzHZn3a_6jB2ELSN935WrVBfC\"><\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_4' class='gform_button button' value='Submit Profile Addition Request'  onclick='if(window[\"gf_submitting_4\"]){return false;}  window[\"gf_submitting_4\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_4\"]){return false;} window[\"gf_submitting_4\"]=true;  jQuery(\"#gform_4\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_4' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='4' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_4' value='WyJbXSIsImQ5Y2U2OGUxNzE1OTZlYjZkN2E4MzI4YmJhNDVlODY3Il0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_4' id='gform_target_page_number_4' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_4' id='gform_source_page_number_4' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\ngform.initializeOnLoaded( function() {gformInitSpinner( 4, 'https:\/\/www.bumc.bu.edu\/evalue\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true 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{gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_4').val();gformInitSpinner( 4, 'https:\/\/www.bumc.bu.edu\/evalue\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [4, current_page]);window['gf_submitting_4'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_4').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [4]);window['gf_submitting_4'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_4').text());}, 50);}else{jQuery('#gform_4').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [4, current_page]);gform.utils.trigger({ event: 'gform\/postRender', native: false, data: { formId: 4, currentPage: current_page } });} );} );\n<\/script>\n<\/p>\n<p><\/div>\n<\/div>\n\n<div class=\"bu_collapsible_container \" aria-live=\"polite\" data-customize-animation=\"false\"><h3 class=\"bu_collapsible\" aria-expanded=\"false\"tabindex=\"0\" role=\"button\">SUBMIT A MedHub SUPPORT TICKET<\/h3><div class=\"bu_collapsible_section\" style=\"display: none;\"><\/p>\n<p>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_3' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">SUBMIT A MedHub SUPPORT TICKET<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/evalue\/wp-json\/wp\/v2\/pages\/314' data-formid='3' >\n                        <div class='gform-body gform_body'><ul id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_3_1\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_1\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Your Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_1'>\n                            \n                            <span id='input_3_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_3_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_3_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_3_2\"  class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_2\"><label class='gfield_label gform-field-label' for='input_3_2' >Your Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_3_2' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_3_3\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_3\"><label class='gfield_label gform-field-label' for='input_3_3' >MedHub Support Need:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_3' id='input_3_3' class='textarea medium'  aria-describedby=\"gfield_description_3_3\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_3'>Please describe your MedHub Support Need in detail and include all relevant information.  If necessary, please include Module\/Course\/Rotation name, Block, Site Name, and Student\/Faculty Names & Faculty Rank (Resident Educator\/Faculty).<\/div><\/li><li id=\"field_3_4\"  class=\"gfield gfield--type-fileupload field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_4\"><label class='gfield_label gform-field-label' for='input_3_4' >File<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='104857600' \/><input name='input_4' id='input_3_4' type='file' class='medium' aria-describedby=\"gfield_upload_rules_3_4\" onchange='javascript:gformValidateFileSize( this, 104857600 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_4'>Max. file size: 100 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_3_4'><\/div><\/div><\/li><li id=\"field_3_5\"  class=\"gfield gfield--type-fileupload field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_5\"><label class='gfield_label gform-field-label' for='input_3_5' >File<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='104857600' \/><input name='input_5' id='input_3_5' type='file' class='medium' aria-describedby=\"gfield_upload_rules_3_5\" onchange='javascript:gformValidateFileSize( this, 104857600 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_5'>Max. file size: 100 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_3_5'><\/div><\/div><\/li><li id=\"field_3_6\"  class=\"gfield gfield--type-fileupload field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_6\"><label class='gfield_label gform-field-label' for='input_3_6' >File<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='104857600' \/><input name='input_6' id='input_3_6' type='file' class='medium' aria-describedby=\"gfield_upload_rules_3_6\" onchange='javascript:gformValidateFileSize( this, 104857600 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_6'>Max. file size: 100 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_3_6'><\/div><\/div><\/li><li id=\"field_3_7\"  class=\"gfield gfield--type-section gsection bu_google_recaptcha_section field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_7\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_3_8\"  class=\"gfield gfield--type-html bu_google_recaptcha gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_8\"><div class=\"g-recaptcha\" data-sitekey=\"6LeGxkEjAAAAAK4nzHZn3a_6jB2ELSN935WrVBfC\"><\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_3' class='gform_button button' value='Submit MedHub Support Ticket'  onclick='if(window[\"gf_submitting_3\"]){return false;}  window[\"gf_submitting_3\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_3\"]){return false;} window[\"gf_submitting_3\"]=true;  jQuery(\"#gform_3\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_3' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='3' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_3' value='WyJbXSIsImQ5Y2U2OGUxNzE1OTZlYjZkN2E4MzI4YmJhNDVlODY3Il0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_3' id='gform_target_page_number_3' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_3' id='gform_source_page_number_3' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\ngform.initializeOnLoaded( function() {gformInitSpinner( 3, 'https:\/\/www.bumc.bu.edu\/evalue\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_3').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_3');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_3').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_3').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_3').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_3').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_3').val();gformInitSpinner( 3, 'https:\/\/www.bumc.bu.edu\/evalue\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [3, current_page]);window['gf_submitting_3'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_3').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [3]);window['gf_submitting_3'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_3').text());}, 50);}else{jQuery('#gform_3').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [3, current_page]);gform.utils.trigger({ event: 'gform\/postRender', native: false, data: { formId: 3, currentPage: current_page } });} );} );\n<\/script>\n<\/p>\n<p><\/div>\n<\/div>\n\n<h4><strong>Please allow 3-5 business days for service requests to be processed and resolved.<\/strong><\/h4>\n","protected":false},"excerpt":{"rendered":"<p>MedHub Support Ticket Please submit the support ticket below for MedHub Support Please allow 3-5 business days for service requests to be processed and resolved.<\/p>\n","protected":false},"author":9373,"featured_media":0,"parent":0,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.bumc.bu.edu\/evalue\/wp-json\/wp\/v2\/pages\/314"}],"collection":[{"href":"https:\/\/www.bumc.bu.edu\/evalue\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bumc.bu.edu\/evalue\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/evalue\/wp-json\/wp\/v2\/users\/9373"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/evalue\/wp-json\/wp\/v2\/comments?post=314"}],"version-history":[{"count":15,"href":"https:\/\/www.bumc.bu.edu\/evalue\/wp-json\/wp\/v2\/pages\/314\/revisions"}],"predecessor-version":[{"id":385,"href":"https:\/\/www.bumc.bu.edu\/evalue\/wp-json\/wp\/v2\/pages\/314\/revisions\/385"}],"wp:attachment":[{"href":"https:\/\/www.bumc.bu.edu\/evalue\/wp-json\/wp\/v2\/media?parent=314"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}