{"id":6081,"date":"2026-01-05T14:09:57","date_gmt":"2026-01-05T06:09:57","guid":{"rendered":"https:\/\/credevo.com\/s\/?page_id=6081"},"modified":"2026-01-06T13:13:36","modified_gmt":"2026-01-06T05:13:36","slug":"credevo-expression-of-interest-form-for-participating-in-a-phase-4-clinical-trial-in-diabetic-retinopathy","status":"publish","type":"page","link":"https:\/\/credevo.com\/s\/credevo-expression-of-interest-form-for-participating-in-a-phase-4-clinical-trial-in-diabetic-retinopathy\/","title":{"rendered":"Credevo: Expression of Interest Form for Participating in a Phase 4 Clinical Trial in Diabetic Retinopathy"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-699ddf4c-9dd9-4adc-b6f6-f2efb25735ef\" id=\"wpforms-5987\"><form id=\"wpforms-form-5987\" class=\"wpforms-validate wpforms-form\" data-formid=\"5987\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/s\/wp-json\/wp\/v2\/pages\/6081?wpforms_form_id=5987\" data-token=\"9aa3dd4e9536f4d8eea6667e5a016eee\" data-token-time=\"1776356601\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-5987-field_53-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"53\"><h3 id=\"wpforms-5987-field_53\">Study Information<\/h3><div class=\"wpforms-field-description\">This is a Phase IV, randomized, double-blind, placebo-controlled clinical study evaluating an oral traditional\/herbal investigational product in adult patients with treatment-na\u00efve non-proliferative diabetic retinopathy (NPDR).\nThe study duration is approximately 24 weeks, with oral dosing as per protocol and scheduled follow-up visits during the study period.\nThe study plans to enrol adult patients with diabetes who have treatment-na\u00efve, moderate to moderately severe non-proliferative diabetic retinopathy (NPDR), with or without diabetic macular edema (DME).\nIf DME is present, it must be mild\/stable, treatment-na\u00efve, and not expected to require treatment during the study.\nNo prior treatment for DR or DME, including:\nAnti-VEGF injections\nLaser therapy (focal, grid, PRP)\nSteroids\nAny retinal intervention.\nPlease answer the following questions based on your site\u2019s experience and interest in conducting a clinical study involving a traditional\/herbal oral product.<\/div><\/div><div id=\"wpforms-5987-field_9-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"9\"><label class=\"wpforms-field-label\">1. 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-5987-field_9\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][9][first]\" required><label for=\"wpforms-5987-field_9\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-5987-field_9-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][9][last]\" required><label for=\"wpforms-5987-field_9-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-5987-field_7-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-5987-field_7\">2. Phone<\/label><input type=\"tel\" id=\"wpforms-5987-field_7\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][7]\" aria-label=\"2. Phone\" ><\/div><div id=\"wpforms-5987-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-5987-field_1\">3. Work Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-5987-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-5987-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-5987-field_4\">4. Degrees (comma separated, e.g., MBBS, MD, PhD, DNB) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5987-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-5987-field_49-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"49\"><label class=\"wpforms-field-label\" for=\"wpforms-5987-field_49\">5. Please indicate your primary therapeutic area <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5987-field_49\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][49]\" required><\/div><div id=\"wpforms-5987-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-5987-field_2\">6. Profile Summary <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-5987-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/textarea><div class=\"wpforms-field-description\">(Please provide a brief overview of your clinical and\/or research experience, Including the total number of year of  experience in clinical research )<\/div><\/div><div id=\"wpforms-5987-field_47-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-5987-field_47\">7. Link to Site or Institution Page (Paste below).If no link is available, please write your site name. <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5987-field_47\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][47]\" required><\/div><div id=\"wpforms-5987-field_11-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-5987-field_11\">8. Upload Your CV (PDF)<\/label><div\n\t\tclass=\"wpforms-uploader \"\n\t\tdata-field-id=\"11\"\n\t\tdata-form-id=\"5987\"\n\t\tdata-input-name=\"wpforms_5987_11\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages,ttf,otf,eot,woff,woff2,redux\"\n\t\tdata-max-size=\"33554432\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"33554432\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t<\/div>\n<\/div>\n\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-5987-field_11\"\n\t\tname=\"wpforms_5987_11\" \t\tvalue=\"\">\n<\/div><div id=\"wpforms-5987-field_46-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"46\"><label class=\"wpforms-field-label\">9. Does your site currently manage adult patients (\u226518 years) with moderate to moderately severe NPDR, with or without DME, who may be eligible for this study? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-5987-field_46\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-5987-field_46_1\" name=\"wpforms[fields][46]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5987-field_46_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-5987-field_46_2\" name=\"wpforms[fields][46]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5987-field_46_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-5987-field_40-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"40\"><h3 id=\"wpforms-5987-field_40\">Experience With Diabetic Retinopathy<\/h3><div class=\"wpforms-field-description\">This section seeks to understand your personal and site-level experience in diagnosing, managing, and treating patients with moderate to moderately severe NPDR (non-proliferative diabetic retinopathy ), with or without DME.<\/div><\/div>\t\t<div id=\"wpforms-5987-field_3-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"3\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-5987-field_3\" >you study you<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-5987-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-5987-field_60-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"60\"><label class=\"wpforms-field-label\" for=\"wpforms-5987-field_60\">10. Approximately, how many patients are seen in your ophthalmology OPD per month at your site? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-5987-field_60\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][60]\" step=\"any\" required><\/div><div id=\"wpforms-5987-field_61-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"61\"><label class=\"wpforms-field-label\" for=\"wpforms-5987-field_61\">11. Approximately how many diabetic retinopathy (DR) patients do you see per month at your site? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-5987-field_61\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][61]\" step=\"any\" required><\/div><div id=\"wpforms-5987-field_30-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-hide wpforms-conditional-trigger\" data-field-id=\"30\"><label class=\"wpforms-field-label\">12. Do you see patients with moderate to moderately severe NPDR in your OPD?(Patients with no prior laser, anti-VEGF, or steroid treatment) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-5987-field_30\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-5987-field_30_1\" name=\"wpforms[fields][30]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5987-field_30_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-5987-field_30_2\" name=\"wpforms[fields][30]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5987-field_30_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-5987-field_62-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"62\"><label class=\"wpforms-field-label\" for=\"wpforms-5987-field_62\">13. Approximately how many treatment-na\u00efve patients with moderate or moderately severe NPDR (ETDRS DRSS 43 or 47) do you see per month? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-5987-field_62\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][62]\" step=\"any\" required><\/div><div id=\"wpforms-5987-field_58-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-5987-field_58\">14. In your opinion, how many patients could potentially be screened for this study per month? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-5987-field_58\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][58]\" step=\"any\" required><\/div><div id=\"wpforms-5987-field_59-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"59\"><label class=\"wpforms-field-label\" for=\"wpforms-5987-field_59\">15. In your opinion, how many patients do you expect to enroll in this study per month? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-5987-field_59\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][59]\" step=\"any\" required><\/div><div id=\"wpforms-5987-field_56-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-hide wpforms-conditional-trigger\" data-field-id=\"56\"><label class=\"wpforms-field-label\">16. Do you foresee any difficulties in recruiting treatment-na\u00efve NPDR patients?<\/label><ul id=\"wpforms-5987-field_56\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-5987-field_56_1\" name=\"wpforms[fields][56]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5987-field_56_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-5987-field_56_2\" name=\"wpforms[fields][56]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5987-field_56_2\">No<\/label><\/li><\/ul><div class=\"wpforms-field-description\">(If yes, please briefly describe the challenges you anticipate.)<\/div><\/div><div id=\"wpforms-5987-field_57-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"57\"><label class=\"wpforms-field-label\" for=\"wpforms-5987-field_57\">(If yes, please briefly describe the challenges you anticipate.)<\/label><textarea id=\"wpforms-5987-field_57\" class=\"wpforms-field-medium\" name=\"wpforms[fields][57]\" ><\/textarea><\/div><div id=\"wpforms-5987-field_50-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"50\"><label class=\"wpforms-field-label\">17. Do you have the following facilities available at your site? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-5987-field_50\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-5987-field_50_1\" name=\"wpforms[fields][50][]\" value=\"ETDRS visual acuity testing (4 m)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5987-field_50_1\">ETDRS visual acuity testing (4 m)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-5987-field_50_2\" name=\"wpforms[fields][50][]\" value=\"SD-OCT for CST measurement\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5987-field_50_2\">SD-OCT for CST measurement<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-5987-field_50_3\" name=\"wpforms[fields][50][]\" value=\"Fundus photography\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5987-field_50_3\">Fundus photography<\/label><\/li><\/ul><div class=\"wpforms-field-description\">(Please tick all facilities that are available at your site)<\/div><\/div><div id=\"wpforms-5987-field_33-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"33\"><label class=\"wpforms-field-label\">18. Are you able to share retinal images with a central reading center? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-5987-field_33\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-5987-field_33_1\" name=\"wpforms[fields][33]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5987-field_33_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-5987-field_33_2\" name=\"wpforms[fields][33]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5987-field_33_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-5987-field_34-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-hide wpforms-conditional-trigger\" data-field-id=\"34\"><label class=\"wpforms-field-label\">19. Would you be interested in participating as a Principal Investigator in this study? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-5987-field_34\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-5987-field_34_1\" name=\"wpforms[fields][34]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5987-field_34_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-5987-field_34_2\" name=\"wpforms[fields][34]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5987-field_34_2\">No<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-5987-field_34_3\" name=\"wpforms[fields][34]\" value=\"Maybe (subject to further discussion)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5987-field_34_3\">Maybe (subject to further discussion)<\/label><\/li><\/ul><\/div><div id=\"wpforms-5987-field_41-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"41\"><label class=\"wpforms-field-label\">20. Please provide your study coordinator&#039;s name<\/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-5987-field_41\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][41][first]\" ><label for=\"wpforms-5987-field_41\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-5987-field_41-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][41][last]\" ><label for=\"wpforms-5987-field_41-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-5987-field_42-container\" class=\"wpforms-field wpforms-field-phone wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-5987-field_42\">21. Please provide study coordinator&#039;s contact number<\/label><input type=\"tel\" id=\"wpforms-5987-field_42\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][42]\" aria-label=\"21. Please provide study coordinator&#039;s contact number\" ><\/div><div id=\"wpforms-5987-field_43-container\" class=\"wpforms-field wpforms-field-email wpforms-conditional-field wpforms-conditional-hide\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-5987-field_43\">22. Please provide study coordinator&#039;s email address<\/label><input type=\"email\" id=\"wpforms-5987-field_43\" class=\"wpforms-field-medium\" name=\"wpforms[fields][43]\" spellcheck=\"false\" ><\/div><div id=\"wpforms-5987-field_37-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"37\"><h3 id=\"wpforms-5987-field_37\">Colleague Referral for Diabetic Retinopathy<\/h3><div class=\"wpforms-field-description\">We would appreciate your support in referring colleagues or investigators within your network who may have relevant experience in diabetic retinopathy.<\/div><\/div><div id=\"wpforms-5987-field_38-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-5987-field_38\">23. Please provide the name of the investigator.<\/label><input type=\"text\" id=\"wpforms-5987-field_38\" class=\"wpforms-field-medium\" name=\"wpforms[fields][38]\" ><\/div><div id=\"wpforms-5987-field_51-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"51\"><label class=\"wpforms-field-label\" for=\"wpforms-5987-field_51\">24. Please provide the email of the investigator.<\/label><input type=\"email\" id=\"wpforms-5987-field_51\" class=\"wpforms-field-medium\" name=\"wpforms[fields][51]\" spellcheck=\"false\" ><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-5987-field_3-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-5987-field_3-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-5987-field_3-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"5987\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/credevo.com\/s\/wp-json\/wp\/v2\/pages\/6081\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-5987\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"full-width-with-Img.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-6081","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.3.1 - 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