{"id":38979,"date":"2024-09-30T12:04:49","date_gmt":"2024-09-30T19:04:49","guid":{"rendered":"https:\/\/wp.sbcounty.gov\/dbh\/?page_id=38979"},"modified":"2024-09-30T12:09:16","modified_gmt":"2024-09-30T19:09:16","slug":"developer-access-request-form","status":"publish","type":"page","link":"https:\/\/wp.sbcounty.gov\/dbh\/developer-access-request-form\/","title":{"rendered":"Developer Access Request Form"},"content":{"rendered":"\t<div id=\"isd-call-to-action-block_14af07ce79df35a080f063c4758dce9d\" class=\"position-relative isd-call-to-action horizontal-layout has-background has-box-shadow light-call-to-action has-gray-100-background-color no-image has-constraint default-image-order no-bottom-margin\">\n\t\t\t\t\t\t<div class=\"content-wrapper\">\n\t\t\t\t\t\t\t\t\t<div class=\"ctnr-content\">\n\t\t\t\t\t\t<div class=\"cta-heading has-primary-color heading-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"cta-heading-text\">\n\t\t\t\t\t\t\t\tDeveloper Access Request Form \t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t<\/div>\n\t\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f38976-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"38976\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/dbh\/wp-json\/wp\/v2\/pages\/38979#wpcf7-f38976-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"38976\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f38976-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><label> First Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Last Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"LastName\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"LastName\" \/><\/span> <\/label>\n<\/p>\n<p><label> Phone Number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"PhoneNumber\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"PhoneNumber\" \/><\/span> <\/label>\n<\/p>\n<p><label> Email<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" autocomplete=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<p><label> Job Title<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-subject\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-subject\" \/><\/span> <\/label>\n<\/p>\n<p><label> Organization Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"OrganizationName\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"OrganizationName\" \/><\/span> <\/label>\n<\/p>\n<p><label> Website<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Website\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Website\" \/><\/span> <\/label>\n<\/p>\n<p><label> Desired API Access<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"DesiredAPIAccess\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"DesiredAPIAccess\"><option value=\"Provider API\">Provider API<\/option><option value=\"Patient API\">Patient API<\/option><option value=\"Both\">Both<\/option><\/select><\/span> <\/label>\n<\/p>\n<p><label> Purpose<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\"><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Developer Access Request Form<\/p>\n","protected":false},"author":1665,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-38979","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/pages\/38979","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/users\/1665"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/comments?post=38979"}],"version-history":[{"count":6,"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/pages\/38979\/revisions"}],"predecessor-version":[{"id":40575,"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/pages\/38979\/revisions\/40575"}],"wp:attachment":[{"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/media?parent=38979"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}