{"id":1118,"date":"2015-08-05T12:18:51","date_gmt":"2015-08-05T19:18:51","guid":{"rendered":"http:\/\/www.iths.org\/fact\/?page_id=1118"},"modified":"2020-07-16T11:09:24","modified_gmt":"2020-07-16T18:09:24","slug":"request-a-study-update","status":"publish","type":"page","link":"https:\/\/www.iths.org\/participate\/researchers\/request-a-study-update\/","title":{"rendered":"Modify Existing Study Posting"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; header_style=&#8221;&#8221; parallax_content_width=&#8221;in_grid&#8221; anchor=&#8221;&#8221; in_content_menu=&#8221;&#8221; content_menu_title=&#8221;&#8221; content_menu_icon=&#8221;&#8221; angled_section=&#8221;no&#8221; angled_section_position=&#8221;both&#8221; angled_section_direction=&#8221;from_left_to_right&#8221; text_align=&#8221;left&#8221; video=&#8221;&#8221; video_overlay=&#8221;&#8221; video_overlay_image=&#8221;&#8221; video_webm=&#8221;&#8221; video_mp4=&#8221;&#8221; video_ogv=&#8221;&#8221; video_image=&#8221;&#8221; background_image=&#8221;&#8221; background_image_as_pattern=&#8221;without_pattern&#8221; section_height=&#8221;&#8221; parallax_speed=&#8221;&#8221; background_color=&#8221;&#8221; border_color=&#8221;&#8221; row_negative_margin=&#8221;&#8221; side_padding=&#8221;&#8221; parallax_side_padding=&#8221;&#8221; padding_top=&#8221;&#8221; padding_bottom=&#8221;&#8221; color=&#8221;&#8221; hover_color=&#8221;&#8221; more_button_label=&#8221;&#8221; less_button_label=&#8221;&#8221; button_position=&#8221;&#8221; css_animation=&#8221;&#8221; transition_delay=&#8221;&#8221;][vc_column width=&#8221;1\/1&#8243;][vc_column_text]<\/p>\n<h2>Request a Study Update<\/h2>\n<p>[\/vc_column_text]<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n<script type=\"text\/javascript\">\n        var gfafPrePopfield = function(formid, fromfield, tofield, inputid) {\n            if (!inputid) {\n                document.getElementById(\"input_\" + formid + \"_\" + tofield).value = document.getElementById(\"input_\" + formid + \"_\" + fromfield).value ? document.getElementById(\"input_\" + formid + \"_\" + fromfield).value : \"\";\n            } else {\n                if (document.getElementById(\"input_\" + formid + \"_\" + tofield + \"_\" + inputid)) {\n                    document.getElementById(\"input_\" + formid + \"_\" + tofield + \"_\" + inputid).value = document.getElementById(\"input_\" + formid + \"_\" + fromfield + \"_\" + inputid).value ? document.getElementById(\"input_\" + formid + \"_\" + fromfield + \"_\" + inputid).value : \"\";\n                }\n            }\n        }\n    <\/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_5' style='display:none'><div id='gf_5' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><p class=\"intro\">Use the following form to update a study that has already been published on this site.<\/p><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_5' id='gform_5'  action='\/participate\/wp-json\/wp\/v2\/pages\/1118#gf_5' data-formid='5' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_5_103\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_103'>Name<\/label><div class='gfield_description' id='gfield_description_5_103'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_103' id='input_5_103' type='text' value='' autocomplete='new-password'\/><\/div><\/li><li id=\"field_5_16\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">About You<\/h2><\/li><li id=\"field_5_17\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >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_5_17'>\n                            \n                            <span id='input_5_17_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_17.3' id='input_5_17_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_17_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_17_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_17.6' id='input_5_17_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_17_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_5_18\" class=\"gfield gfield--type-email gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_18'>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_18' id='input_5_18' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_5_96\" class=\"gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_96'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_96' id='input_5_96' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_31\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >I am...<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_5_31'>\n\t\t\t<li class='gchoice gchoice_5_31_0'>\n\t\t\t\t<input name='input_31' type='radio' value='the study&#039;s contact'  id='choice_5_31_0'    \/>\n\t\t\t\t<label for='choice_5_31_0' id='label_5_31_0' class='gform-field-label gform-field-label--type-inline'>the study's contact<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_31_1'>\n\t\t\t\t<input name='input_31' type='radio' value='a PI for the study'  id='choice_5_31_1'    \/>\n\t\t\t\t<label for='choice_5_31_1' id='label_5_31_1' class='gform-field-label gform-field-label--type-inline'>a PI for the study<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_31_2'>\n\t\t\t\t<input name='input_31' type='radio' value='a third party'  id='choice_5_31_2'    \/>\n\t\t\t\t<label for='choice_5_31_2' id='label_5_31_2' class='gform-field-label gform-field-label--type-inline'>a third party<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_11\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">About the Study<\/h2><\/li><li id=\"field_5_94\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_94'>IRB Approval  # or Project ID<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_94' id='input_5_94' type='text' value='' class='medium'  aria-describedby=\"gfield_description_5_94\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_5_94'><strong>Important Note:<\/strong> Be sure that this number matches the Study ID on your listing. See example below.\n<a href=\"http:\/\/www.iths.org\/fact\/wp-content\/uploads\/sites\/4\/2015\/08\/studyid.jpg\" target=\"_blank\"><img decoding=\"async\" src=\"http:\/\/www.iths.org\/fact\/wp-content\/uploads\/sites\/4\/2015\/08\/studyid.jpg\"><\/a><\/div><\/li><li id=\"field_5_84\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >What would you like to update?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_84'>Please select all that apply.<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_84'><li class='gchoice gchoice_5_84_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_84.1' type='checkbox'  value='Change the study short name'  id='choice_5_84_1'   aria-describedby=\"gfield_description_5_84\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_84_1' id='label_5_84_1' class='gform-field-label gform-field-label--type-inline'>Change the study short name<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_84_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_84.2' type='checkbox'  value='Change the study&#039;s end date'  id='choice_5_84_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_84_2' id='label_5_84_2' class='gform-field-label gform-field-label--type-inline'>Change the study's end date<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_84_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_84.3' type='checkbox'  value='Update the categories the study is located within'  id='choice_5_84_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_84_3' id='label_5_84_3' class='gform-field-label gform-field-label--type-inline'>Update the categories the study is located within<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_84_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_84.4' type='checkbox'  value='Update the study&#039;s tags'  id='choice_5_84_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_84_4' id='label_5_84_4' class='gform-field-label gform-field-label--type-inline'>Update the study's tags<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_84_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_84.5' type='checkbox'  value='Update the summary'  id='choice_5_84_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_84_5' id='label_5_84_5' class='gform-field-label gform-field-label--type-inline'>Update the summary<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_84_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_84.6' type='checkbox'  value='Update eligibility criteria'  id='choice_5_84_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_84_6' id='label_5_84_6' class='gform-field-label gform-field-label--type-inline'>Update eligibility criteria<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_84_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_84.7' type='checkbox'  value='Change the primary location of the study'  id='choice_5_84_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_84_7' id='label_5_84_7' class='gform-field-label gform-field-label--type-inline'>Change the primary location of the study<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_84_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_84.8' type='checkbox'  value='Add\/update a second location for the study'  id='choice_5_84_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_84_8' id='label_5_84_8' class='gform-field-label gform-field-label--type-inline'>Add\/update a second location for the study<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_84_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_84.9' type='checkbox'  value='Change the trial&#039;s contact information (name, email address, phone)'  id='choice_5_84_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_84_9' id='label_5_84_9' class='gform-field-label gform-field-label--type-inline'>Change the trial's contact information (name, email address, phone)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_84_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_84.11' type='checkbox'  value='Update the PI\/Investigators'  id='choice_5_84_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_84_11' id='label_5_84_11' class='gform-field-label gform-field-label--type-inline'>Update the PI\/Investigators<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_84_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_84.12' type='checkbox'  value='Deactivate the study on the site.'  id='choice_5_84_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_84_12' id='label_5_84_12' class='gform-field-label gform-field-label--type-inline'>Deactivate the study on the site.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_84_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_84.13' type='checkbox'  value='Other'  id='choice_5_84_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_84_13' id='label_5_84_13' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_90\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_90'>Study\/Trial Short Name for the Public<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_90'>Please create a short, descriptive name for potential participants. Please do not enter your internal short name for the project.<\/div><div class='ginput_container ginput_container_text'><input name='input_90' id='input_5_90' type='text' value='' class='large'  aria-describedby=\"gfield_description_5_90\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_91\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_91'>Study End Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_91'>Enter the projected end of recruitment date.<\/div><div class='ginput_container ginput_container_date'>\n                            <input name='input_91' id='input_5_91' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_5_91_date_format gfield_description_5_91\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_91_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_91' class='gform_hidden' value='https:\/\/www.iths.org\/participate\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_5_86\" class=\"gfield gfield--type-checkbox gfield--type-choice gf_list_2col gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Clinical Trial Category\/Categories<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_86'><li class='gchoice gchoice_5_86_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.1' type='checkbox'  value='Healthy Volunteer Studies'  id='choice_5_86_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_1' id='label_5_86_1' class='gform-field-label gform-field-label--type-inline'>Healthy Volunteer Studies<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.2' type='checkbox'  value='Blood-Lymphatic System'  id='choice_5_86_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_2' id='label_5_86_2' class='gform-field-label gform-field-label--type-inline'>Blood-Lymphatic System<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.3' type='checkbox'  value='Bones, Joints &amp; Muscles'  id='choice_5_86_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_3' id='label_5_86_3' class='gform-field-label gform-field-label--type-inline'>Bones, Joints & Muscles<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.4' type='checkbox'  value='Brain &amp; Nervous System'  id='choice_5_86_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_4' id='label_5_86_4' class='gform-field-label gform-field-label--type-inline'>Brain & Nervous System<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.5' type='checkbox'  value='Cancer'  id='choice_5_86_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_5' id='label_5_86_5' class='gform-field-label gform-field-label--type-inline'>Cancer<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.6' type='checkbox'  value='Cardiovascular'  id='choice_5_86_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_6' id='label_5_86_6' class='gform-field-label gform-field-label--type-inline'>Cardiovascular<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.7' type='checkbox'  value='Child Health'  id='choice_5_86_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_7' id='label_5_86_7' class='gform-field-label gform-field-label--type-inline'>Child Health<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.8' type='checkbox'  value='COVID-19'  id='choice_5_86_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_8' id='label_5_86_8' class='gform-field-label gform-field-label--type-inline'>COVID-19<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.9' type='checkbox'  value='Diabetes'  id='choice_5_86_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_9' id='label_5_86_9' class='gform-field-label gform-field-label--type-inline'>Diabetes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.11' type='checkbox'  value='Digestive System &amp; Liver'  id='choice_5_86_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_11' id='label_5_86_11' class='gform-field-label gform-field-label--type-inline'>Digestive System & Liver<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.12' type='checkbox'  value='Ear, Nose &amp; Throat'  id='choice_5_86_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_12' id='label_5_86_12' class='gform-field-label gform-field-label--type-inline'>Ear, Nose & Throat<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.13' type='checkbox'  value='Eyes &amp; Vision'  id='choice_5_86_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_13' id='label_5_86_13' class='gform-field-label gform-field-label--type-inline'>Eyes & Vision<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.14' type='checkbox'  value='Food, Nutrition &amp; Metabolism'  id='choice_5_86_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_14' id='label_5_86_14' class='gform-field-label gform-field-label--type-inline'>Food, Nutrition & Metabolism<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.15' type='checkbox'  value='Immune System\/Infections'  id='choice_5_86_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_15' id='label_5_86_15' class='gform-field-label gform-field-label--type-inline'>Immune System\/Infections<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.16' type='checkbox'  value='Kidney &amp; Urinary System'  id='choice_5_86_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_16' id='label_5_86_16' class='gform-field-label gform-field-label--type-inline'>Kidney & Urinary System<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.17' type='checkbox'  value='Lungs &amp; Breathing'  id='choice_5_86_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_17' id='label_5_86_17' class='gform-field-label gform-field-label--type-inline'>Lungs & Breathing<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.18' type='checkbox'  value='Mental Health &amp; Behavior'  id='choice_5_86_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_18' id='label_5_86_18' class='gform-field-label gform-field-label--type-inline'>Mental Health & Behavior<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.19' type='checkbox'  value='Mouth &amp; Teeth'  id='choice_5_86_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_19' id='label_5_86_19' class='gform-field-label gform-field-label--type-inline'>Mouth & Teeth<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.21' type='checkbox'  value='Pain Management\/Anesthesiology'  id='choice_5_86_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_21' id='label_5_86_21' class='gform-field-label gform-field-label--type-inline'>Pain Management\/Anesthesiology<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.22' type='checkbox'  value='Reproductive &amp; Sexual Health'  id='choice_5_86_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_22' id='label_5_86_22' class='gform-field-label gform-field-label--type-inline'>Reproductive & Sexual Health<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.23' type='checkbox'  value='Skin, Hair &amp; Nails'  id='choice_5_86_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_23' id='label_5_86_23' class='gform-field-label gform-field-label--type-inline'>Skin, Hair & Nails<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.24' type='checkbox'  value='Sleep Disorders'  id='choice_5_86_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_24' id='label_5_86_24' class='gform-field-label gform-field-label--type-inline'>Sleep Disorders<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.25' type='checkbox'  value='Wellness, Lifestyle &amp; Environmental Health'  id='choice_5_86_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_25' id='label_5_86_25' class='gform-field-label gform-field-label--type-inline'>Wellness, Lifestyle & Environmental Health<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_26'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.26' type='checkbox'  value='Women\u2019s Health'  id='choice_5_86_26'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_26' id='label_5_86_26' class='gform-field-label gform-field-label--type-inline'>Women\u2019s Health<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_87\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_87'>Study Tags<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_87'>Separate each keyword or phrase with a comma.<\/div><div class='ginput_container ginput_container_text'><input name='input_87' id='input_5_87' type='text' value='' class='large'  aria-describedby=\"gfield_description_5_87\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_1\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_1'>Summary<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_1' id='input_5_1' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_2\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_2'>Participant Eligibility<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_2' id='input_5_2' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_47\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Study Primary Location<\/h2><\/li><li id=\"field_5_92\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_5_92' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_92_1_container' >\n                                        <input type='text' name='input_92.1' id='input_5_92_1' value=''    aria-required='true'    \/>\n                                        <label for='input_5_92_1' id='input_5_92_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_5_92_2_container' >\n                                        <input type='text' name='input_92.2' id='input_5_92_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_92_2' id='input_5_92_2_label' class='gform-field-label gform-field-label--type-sub '>Suite, Room Number, or other descriptor<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_5_92_3_container' >\n                                    <input type='text' name='input_92.3' id='input_5_92_3' value=''    aria-required='true'    \/>\n                                    <label for='input_5_92_3' id='input_5_92_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_5_92_4_container' >\n                                        <select name='input_92.4' id='input_5_92_4'     aria-required='true'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' selected='selected'>Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_5_92_4' id='input_5_92_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_92_5_container' >\n                                    <input type='text' name='input_92.5' id='input_5_92_5' value=''    aria-required='true'    \/>\n                                    <label for='input_5_92_5' id='input_5_92_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_92.6' id='input_5_92_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_5_57\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Location 2<\/h2><\/li><li id=\"field_5_93\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_5_93' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_93_1_container' >\n                                        <input type='text' name='input_93.1' id='input_5_93_1' value=''    aria-required='true'    \/>\n                                        <label for='input_5_93_1' id='input_5_93_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_5_93_2_container' >\n                                        <input type='text' name='input_93.2' id='input_5_93_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_93_2' id='input_5_93_2_label' class='gform-field-label gform-field-label--type-sub '>Suite, Room Number, or other descriptor<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_5_93_3_container' >\n                                    <input type='text' name='input_93.3' id='input_5_93_3' value=''    aria-required='true'    \/>\n                                    <label for='input_5_93_3' id='input_5_93_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_5_93_4_container' >\n                                        <select name='input_93.4' id='input_5_93_4'     aria-required='true'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' selected='selected'>Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_5_93_4' id='input_5_93_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_93_5_container' >\n                                    <input type='text' name='input_93.5' id='input_5_93_5' value=''    aria-required='true'    \/>\n                                    <label for='input_5_93_5' id='input_5_93_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_93.6' id='input_5_93_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_5_12\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Study Personnel<\/h2><\/li><li id=\"field_5_88\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Study Contact 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_5_88'>\n                            \n                            <span id='input_5_88_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_88.3' id='input_5_88_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_88_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_88_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_88.6' id='input_5_88_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_88_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_5_89\" class=\"gfield gfield--type-email gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_89'>Study Contact 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_89' id='input_5_89' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_5_102\" class=\"gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_102'>Study Contact phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_102' id='input_5_102' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_95\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_95'>Investigator(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_95'>Please list all Principal Investigator and any Co-Investigators, using one line for each.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_95' id='input_5_95' class='textarea medium'  aria-describedby=\"gfield_description_5_95\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_85\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Study Deactivation<\/h2><\/li><li id=\"field_5_99\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Reason for deactivation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_99'><li class='gchoice gchoice_5_99_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_99.1' type='checkbox'  value='Enrollment goals have been achieved.'  id='choice_5_99_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_99_1' id='label_5_99_1' class='gform-field-label gform-field-label--type-inline'>Enrollment goals have been achieved.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_99_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_99.2' type='checkbox'  value='The study has been closed.'  id='choice_5_99_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_99_2' id='label_5_99_2' class='gform-field-label gform-field-label--type-inline'>The study has been closed.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_99_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_99.3' type='checkbox'  value='Other'  id='choice_5_99_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_99_3' id='label_5_99_3' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_98\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_98'>Please let us know why you would like to remove the study from the site.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_98'>We use this information for internal reporting and site improvement purposes.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_98' id='input_5_98' class='textarea medium'  aria-describedby=\"gfield_description_5_98\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_97\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Other<\/h2><\/li><li id=\"field_5_100\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_100'>Other Notes or Comments<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_100' id='input_5_100' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_101\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Attestations<\/h2><\/li><li id=\"field_5_75\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Attestations<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_75'><li class='gchoice gchoice_5_75_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.1' type='checkbox'  value='I attest to the accuracy of the information provided.'  id='choice_5_75_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_75_1' id='label_5_75_1' class='gform-field-label gform-field-label--type-inline'>I attest to the accuracy of the information provided.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_75_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.2' type='checkbox'  value='I understand that my file may be audited and that I may be required to provide proof of unconditional IRB approval, approved posting narrative (if applicable), and current enrollment information within 24 hours of request by the ITHS website administrator.'  id='choice_5_75_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_75_2' id='label_5_75_2' class='gform-field-label gform-field-label--type-inline'>I understand that my file may be audited and that I may be required to provide proof of unconditional IRB approval, approved posting narrative (if applicable), and current enrollment information within 24 hours of request by the ITHS website administrator.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul><\/div>\n        <div 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