BCM Website Request

This form is reserved for requests related to web pages on BCM.edu and InTouch.bcm.edu.

If your request is regarding MyChart, Find A Physician, Signature profiles, shared email boxes, Listserves or DLs, please visit the IT Service Portal.

To submit a Clinical Trial, please use this form.
What type of request is this?*

Profile update (picture, phone number, job title, etc.)New page / siteNew Faculty LabUpdate to existing pageCreate or edit an online formGet online form resultsWebsite Analytics ReportVideo uploadRequest Vanity / Short URL Address
Fill out each needed field below with the relevant information you'd like on your lab site. If you have questions, contact pa-webteam@bcm.edu.
Will your online form include a credit card payment?*

YesNo
Please contact Assistant Treasurer Hannah Choi to begin the setup process.
Lab Title *
About The Lab*
Lab Members*
Lab Projects
Studies / Clinical Trials
Publications
News or Events
Contact Information
Images, Videos or Documents

For each photo, please also include a description of the image, indicating what people are looking at. This could include listing people in a picture or explaining what the scientific image of cells represent or mean.
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Image Descriptions
Please list the filename of the image followed by the description.
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 of using the link you were provided.
What area is this request for?*

HealthcareEducationResearchLabsCommunityDepartment or CenterGeneral WebIntranet (intouch.bcm.edu)
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*
BCM E-mail*
Phone Number
Provide the URL of the bcm.edu site.*
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
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 to audiences?*
Example: Embedded on a page (provide URL), emailed, posted on social media, etc.
List the Baylor email addresses that should receive results:*
Page Title
Insert content here. If needed, attach files below.
Insert content here. If needed, attach files below.
Provide form name, introduction, desired fields or other edits. Please indicate if any are required. You can upload an attachment below.*
Attachments

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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 there a date this form should stop accepting submissions?

MonthDayYear
Is there a submission limit? Please enter the maximum number of submissions allowed.
Requested Vanity / Short URL
For example: www.bcm.edu/shortword
Full website URL where the Vanity / Short URL will redirect to
Business purpose
Is this request urgent?

UrgentNot Urgent
Once approved, send to as-webteam@bcm.edu for setup.
For Vanity/Short URLs: once approved, send to Mazen.Almontheri@bcm.edu; rivera@bcm.edu for setup.
Should be Empty: