{"id":147,"date":"2024-03-07T14:22:25","date_gmt":"2024-03-07T14:22:25","guid":{"rendered":"http:\/\/phloxpvmed.co.uk\/?page_id=147"},"modified":"2024-03-07T14:26:56","modified_gmt":"2024-03-07T14:26:56","slug":"contact-us","status":"publish","type":"page","link":"https:\/\/phloxpvmed.co.uk\/?page_id=147","title":{"rendered":"Contact Us"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-53d576d5-9d9d-480e-bc9d-83dc237ef4bb\" id=\"wpforms-31\"><form id=\"wpforms-form-31\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"31\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F147\" data-token=\"96a797d2faa18f12e6d78b394a56a6f1\" data-token-time=\"1776811958\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-31-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-31-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-31-field_0\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-31-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-31-field_0-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-31-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-31-field_3\">Company<\/label><input type=\"text\" id=\"wpforms-31-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" ><\/div><div id=\"wpforms-31-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-31-field_1\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-31-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-31-field_4-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-31-field_4\">Help needed <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-31-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required=\"required\"><option value=\"Pharmacovigilance Product Signal Managment\"  class=\"choice-1 depth-1\"  >Pharmacovigilance Product Signal Managment<\/option><option value=\"Safety Topic Review\"  class=\"choice-5 depth-1\"  >Safety Topic Review<\/option><option value=\"Aggregate Report Writing\"  class=\"choice-2 depth-1\"  >Aggregate Report Writing<\/option><option value=\"Literature Review\"  class=\"choice-6 depth-1\"  >Literature Review<\/option><option value=\"Pharmacovigilance Process Optimisation or CAPA support\"  class=\"choice-7 depth-1\"  >Pharmacovigilance Process Optimisation or CAPA support<\/option><option value=\"Submission Dossier Writing\"  class=\"choice-3 depth-1\"  >Submission Dossier Writing<\/option><option value=\"Pharmaceutical Medicine Insights or Advice\"  class=\"choice-4 depth-1\"  >Pharmaceutical Medicine Insights or Advice<\/option><option value=\"Other\"  class=\"choice-8 depth-1\"  >Other<\/option><\/select><div class=\"wpforms-field-description\">Categories of Services offered<\/div><\/div><div id=\"wpforms-31-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-31-field_2\">Please give us more details on how we can support you <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-31-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/textarea><\/div><div id=\"wpforms-31-field_5-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"5\"><label class=\"wpforms-field-label\">GDPR Consent <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-31-field_5\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-31-field_5_1\" name=\"wpforms[fields][5][]\" value=\"I consent to my contact details being processed according to the Phlox PVMed Consultancy Privacy Policy\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-31-field_5_1\">I consent to my contact details being processed according to the Phlox PVMed Consultancy Privacy Policy<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-31-field_5_4\" name=\"wpforms[fields][5][]\" value=\"I request that Phlox PVMed Consultancy delete the details given above and no longer contacts me\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-31-field_5_4\">I request that Phlox PVMed Consultancy delete the details given above and no longer contacts me<\/label><\/li><\/ul><div class=\"wpforms-field-description\">By ticking this box you give consent for Phlox PVMed Consultancy to process your contact details as detailed in our privacy protection policy in order that we can contact you regarding your request. You have the right to withdraw this consent at any time and can request we delete your details using the check box.<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"31\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/phloxpvmed.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/147\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-31\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/phloxpvmed.co.uk\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":20,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-147","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/phloxpvmed.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/147","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/phloxpvmed.co.uk\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/phloxpvmed.co.uk\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/phloxpvmed.co.uk\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/phloxpvmed.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=147"}],"version-history":[{"count":5,"href":"https:\/\/phloxpvmed.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/147\/revisions"}],"predecessor-version":[{"id":260,"href":"https:\/\/phloxpvmed.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/147\/revisions\/260"}],"wp:attachment":[{"href":"https:\/\/phloxpvmed.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=147"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}