{"status":true,"channelId":"4592ad6f-11e7-41d1-ba57-e923a70090fa","form":"\r\n\r\n\u003c!DOCTYPE html\u003e\r\n\r\n\u003chtml xmlns=\"http://www.w3.org/1999/xhtml\"\u003e\r\n\u003chead id=\"Head1\"\u003e\u003ctitle\u003e\r\n\t\r\n Page Subscription\r\n \r\n\u003c/title\u003e\r\n \u003cscript\u003e\r\n function captchaOnloadCallback() {\r\n captchaId = grecaptcha.render(\u0027captchaContainer\u0027, {\r\n \u0027sitekey\u0027: \u00276LfSweEZAAAAAEUB02EzbYGs8LvpcXyw7D08yS3O\u0027,\r\n \u0027type\u0027: \u0027image\u0027\r\n });\r\n }\r\n \u003c/script\u003e\r\n\u003c/head\u003e\r\n\u003cbody\u003e\r\n\t\u003cdiv class=\"pageSubscriptionModal\"\u003e\r\n \u003cdiv class=\"psLogo\"\u003e\r\n \u003cimg class=\"default\" src=\"/en/images/structure/logo.svg\" alt=\"William Osler Healthcare Systems Logo\" /\u003e\r\n \u003cbutton class=\"ui-button ui-widget ui-state-default ui-corner-all ui-button-icon-only ui-dialog-titlebar-close\" type=\"button\" role=\"button\" title=\"Close\"\u003e\r\n \u003cspan class=\"ui-button-icon-primary ui-icon ui-icon-closethick\"\u003e\u003c/span\u003e\r\n \u003cspan class=\"ui-button-text\"\u003eClose\u003c/span\u003e\r\n\r\n \u003c/button\u003e\r\n \u003c/div\u003e\r\n\t\t\u003cform id=\"pageSubscriptionForm\"\u003e\r\n \u003cdiv class=\"psFormContainer\"\u003e\r\n \u003ch2 id=\"formTitle\" class=\"psHeaderText\"\u003eSubscribe to\u003c/h2\u003e\r\n \u003cdiv class=\"psContactContainer\"\u003e\r\n \u003cdiv class=\"psContactFormDescriptionText\"\u003e\r\n \u003cp\u003ePlease provide your name and email address to be notified when this page is updated. After submitting the form please check your email for a verification message. You will start to receive email updates once you have clicked the verification link in the confirmation message.\u003c/p\u003e\r\n \u003c/div\u003e\r\n \u003cdiv class=\"psValidation\" id=\"formValidationMessage\"\u003e\r\n \u003cp id=\"psFNError\" class=\"psErrorMessage\"\u003eFirst Name is a required field\u003c/p\u003e\r\n \u003cp id=\"psLNError\" class=\"psErrorMessage\"\u003eLast Name is a required field\u003c/p\u003e\r\n \u003cp id=\"psEmailError\" class=\"psErrorMessage\"\u003eEmail is a required field\u003c/p\u003e\r\n \u003cp id=\"psEmailInvalid\" class=\"psErrorMessage\"\u003eEmail is not in a valid format.\u003c/p\u003e\r\n \u003cp id=\"psCaptchaError\" class=\"psErrorMessage\"\u003ePlease check I\u0026apos;m not a robot.\u003c/p\u003e\r\n \u003c/div\u003e\r\n\t\t\t\t \u003cdiv class=\"psContactFieldLabel\"\u003e\u003clabel for=\"txtFirstName\"\u003eFirst Name\u003c/label\u003e\u003c/div\u003e\r\n\t\t\t\t \u003cinput type=\"text\" id=\"txtFirstName\" name=\"txtFirstName\" class=\"ic-form-control psFirstName\"/\u003e\r\n\t\t\t\t \u003cdiv class=\"psContactFieldLabel\"\u003e\u003clabel for=\"txtLastName\"\u003eLast Name\u003c/label\u003e\u003c/div\u003e\r\n\t\t\t\t \u003cinput type=\"text\" id=\"txtLastName\" name=\"txtLastName\" class=\"ic-form-control psLastName\"/\u003e\r\n\t\t\t\t \u003cdiv class=\"psContactFieldLabel\"\u003e\u003clabel for=\"txtEmail\"\u003eEmail Address\u003c/label\u003e\u003c/div\u003e\r\n\t\t\t\t \u003cinput type=\"email\" id=\"txtEmail\" name=\"txtEmail\" class=\"ic-form-control psEmail\" /\u003e\r\n\t\t\t\t \u003cdiv id=\"captchaContainer\"\u003e\u003c/div\u003e\r\n\t\t\t\t \u003cscript type=\"text/javascript\" src=\"https://www.google.com/recaptcha/api.js?onload=captchaOnloadCallback\u0026render=explicit\u0026hl=en\":\"\"\u003e\u003c/script\u003e\r\n \u003cdiv class=\"psOptionalDescriptionText\"\u003e\r\n \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\r\n \u003c/div\u003e\r\n \u003c/div\u003e\r\n \u003c/div\u003e\r\n \u003cdiv class=\"button-group\"\u003e\r\n \u003cdiv class=\"psFeedbackButton\" tabindex=\"-1\"\u003e\r\n \u003cdiv class=\"psButtonMiddle\" id=\"subscribe\" role=\"button\" tabindex=\"0\"\u003eSubscribe\u003c/div\u003e\r\n \u003c/div\u003e\r\n \u003ca href=\"#\" class=\"psFeedbackClose\"\u003eOr Cancel\u003c/a\u003e\r\n \u003c/div\u003e\r\n \u003c/form\u003e\r\n \u003c/div\u003e\r\n\u003c/body\u003e\r\n\u003c/html\u003e\r\n","confirmation":"\r\n\r\n\u003c!DOCTYPE html\u003e\r\n\r\n\u003chtml xmlns=\"http://www.w3.org/1999/xhtml\"\u003e\r\n\u003chead id=\"Head1\"\u003e\u003ctitle\u003e\r\n\tPage Subscription Confirmation\r\n\u003c/title\u003e\u003c/head\u003e\r\n\u003cbody\u003e\r\n\t\u003cdiv class=\"pageSubscriptionModal\"\u003e\r\n \u003cdiv class=\"psLogo\"\u003e\r\n \u003cimg class=\"default\" src=\"/en/images/structure/logo.svg\" alt=\"William Osler Healthcare Systems Logo\" /\u003e\r\n \u003cbutton class=\"ui-button ui-widget ui-state-default ui-corner-all ui-button-icon-only ui-dialog-titlebar-close\" type=\"button\" role=\"button\" title=\"Close\"\u003e\r\n \u003cspan class=\"ui-button-icon-primary ui-icon ui-icon-closethick\"\u003e\u003c/span\u003e\r\n \u003cspan class=\"ui-button-text\"\u003eClose\u003c/span\u003e\r\n\r\n \u003c/button\u003e\r\n \u003c/div\u003e\r\n\t\t\u003cform id=\"pageSubscriptionForm\"\u003e\r\n \u003cdiv class=\"psFormContainer\"\u003e\r\n \u003cdiv class=\"psContactContainer\"\u003e\r\n \u003cdiv class=\"psContactFormDescriptionText\"\u003e\r\n \u003cdiv class=\"psErrorMessage\" id=\"psConfirmError\"\u003e\u003cp\u003eAn error occurred processing the subscription. Please try again later.\u003c/p\u003e\u003c/div\u003e\r\n \u003cdiv class=\"psErrorMessage\" id=\"psConfirmSuccess\"\u003e\u003cp\u003eThank you for your subscription. Please check your email for the confirmation message. If you have subscribed to other pages on this site, you will not receive a confirmation email.\u003c/p\u003e\u003c/div\u003e\r\n \u003c/div\u003e\r\n \u003c/div\u003e\r\n \u003c/div\u003e\r\n \u003cdiv class=\"button-group\"\u003e\r\n \u003cdiv class=\"psFeedbackButton\"\u003e\r\n \u003cdiv class=\"psButtonLeft\"\u003e\u003c/div\u003e\r\n \u003cdiv class=\"psButtonMiddle\" id=\"close\"\u003eClose\u003c/div\u003e\r\n \u003cdiv class=\"psButtonRight\"\u003e\u003c/div\u003e\r\n \u003c/div\u003e\r\n \u003c/div\u003e\r\n \u003c/form\u003e\r\n \u003c/div\u003e\r\n\u003c/body\u003e\r\n\u003c/html\u003e\r\n"}