Website Request

Website Request
This form is reserved for requests related to web pages. If your request is regarding Find A Physician, Signature profiles, shared email boxes, Listserves or DLs, please visit the IT Service Portal.
What type of request is this?*

Profile update (picture, phone number, job title, etc.)New page / siteUpdate to existing pageCreate an online formGet online form resultsWebsite Analytics ReportVideo upload
Submit a Video for Approval

Ready for your video to be reviewed? Submit your video to Institutional Web Management at Baylor College of Medicine.

Has your video already been approved? Select the "New page / site" or "Update an existing page" options instead using the link you were provided.
What area is this request for?*

HealthcareEducationResearchLabsCommunityDepartment or CenterGeneral WebIntranet (intouch.bcm.edu)Website Analytics
For information on updating your Signature profile (for the public bcm.edu site) or your InTouch profile (for intouch.bcm.edu), see the following links:
If you have additional questions, please visit the IT Service Portal.
Full Name*
E-mail*
Phone Number
Provide the URL of the bcm.edu site. You will be contacted by a team member.
Provide the name of the form:
Provide the URL of the form:*
List any special requests or instructions:
Do you prefer Excel or PDF?

ExcelPDF
Will your online form include a credit card payment?*

YesNo
Provide registration or service cost information:
Please note that department/center credit card accounts require BCM Office of Finance set up. Information for that process will be provided to you after completion of this form.
Briefly describe your request:*
Example: "I need to add people to a list," or "I need to remake an entire page."
Date range for analytics:*
Example: Jan. 1, 2022 - Dec. 31, 2022
Page URL*
What URL should this page be built under?*
How will this form be displayed for audiences?
Example: Embedded on a page (provide URL), emailed, posted on social media, etc.
Page Title
Insert content here. If needed, attach files below.
Provide form name, introduction and desired fields. Please indicate if any are required. You can upload an attachment below.
Attachments

Browse Files

Cancelof
List the Baylor email addresses that should receive results:*
Do you need a specific "Thank you" message content to be shown on submission? Enter it below:
IS there anything else that should happen after the form is submitted?
Is this request urgent?

UrgentNot Urgent
Should be Empty: