{"id":3049,"date":"2023-10-16T18:44:11","date_gmt":"2023-10-16T22:44:11","guid":{"rendered":"https:\/\/herpescureadvocacy.com\/?page_id=3049"},"modified":"2023-10-16T18:44:11","modified_gmt":"2023-10-16T22:44:11","slug":"patient-advocate-task-force-application","status":"publish","type":"page","link":"https:\/\/herpescureadvocacy.com\/patient-advocate-task-force-application\/","title":{"rendered":"Patient Advocate Task Force Application"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"495\" height=\"277\" data-attachment-id=\"2491\" data-permalink=\"https:\/\/herpescureadvocacy.com\/crop-0-73-495-277-0-bullhorn-web-768x429-1-jpg\/\" data-orig-file=\"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2022\/03\/crop-0-73-495-277-0-bullhorn-web-768x429-1.jpg?fit=495%2C277&amp;ssl=1\" data-orig-size=\"495,277\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"crop-0-73-495-277-0-bullhorn-web-768&amp;#215;429-1.jpg\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2022\/03\/crop-0-73-495-277-0-bullhorn-web-768x429-1.jpg?fit=495%2C277&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2022\/03\/crop-0-73-495-277-0-bullhorn-web-768x429-1.jpg?resize=495%2C277&#038;ssl=1\" alt=\"\" class=\"wp-image-2491\" srcset=\"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2022\/03\/crop-0-73-495-277-0-bullhorn-web-768x429-1.jpg?w=495&amp;ssl=1 495w, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2022\/03\/crop-0-73-495-277-0-bullhorn-web-768x429-1.jpg?resize=300%2C168&amp;ssl=1 300w\" sizes=\"auto, (max-width: 495px) 100vw, 495px\" \/><\/figure>\n<\/div>\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-3c6fc236-0052-4594-ae47-8db0cf80d814 wpforms-render-modern\" id=\"wpforms-3046\"><form id=\"wpforms-form-3046\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"3046\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/wp-json\/wp\/v2\/pages\/3049\" data-token=\"e8f764b65aeba4e69a4a95357a66487c\" data-token-time=\"1782183197\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-3046-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-3046-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" aria-errormessage=\"wpforms-3046-field_0-error\" required><label for=\"wpforms-3046-field_0\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-3046-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" aria-errormessage=\"wpforms-3046-field_0-last-error\" required><label for=\"wpforms-3046-field_0-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-3046-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-3046-field_1\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-3046-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" aria-errormessage=\"wpforms-3046-field_1-error\" required><\/div><div id=\"wpforms-3046-field_6-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-3046-field_6\">Location<\/label><select id=\"wpforms-3046-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\"><option value=\"United States\"  class=\"choice-209 depth-1\"  >United States<\/option><option value=\"Afghanistan\"  class=\"choice-5 depth-1\"  >Afghanistan<\/option><option value=\"Albania\"  class=\"choice-6 depth-1\"  >Albania<\/option><option value=\"Algeria\"  class=\"choice-7 depth-1\"  >Algeria<\/option><option value=\"Andorra\"  class=\"choice-8 depth-1\"  >Andorra<\/option><option value=\"Angola\"  class=\"choice-9 depth-1\"  >Angola<\/option><option value=\"Antigua and Barbuda\"  class=\"choice-10 depth-1\"  >Antigua and Barbuda<\/option><option value=\"Argentina\"  class=\"choice-11 depth-1\"  >Argentina<\/option><option value=\"Armenia\"  class=\"choice-12 depth-1\"  >Armenia<\/option><option value=\"Australia\"  class=\"choice-13 depth-1\"  >Australia<\/option><option value=\"Austria\"  class=\"choice-14 depth-1\"  >Austria<\/option><option value=\"Azerbaijan\"  class=\"choice-15 depth-1\"  >Azerbaijan<\/option><option value=\"The Bahamas\"  class=\"choice-17 depth-1\"  >The Bahamas<\/option><option value=\"Bahrain\"  class=\"choice-18 depth-1\"  >Bahrain<\/option><option value=\"Bangladesh\"  class=\"choice-19 depth-1\"  >Bangladesh<\/option><option value=\"Barbados\"  class=\"choice-20 depth-1\"  >Barbados<\/option><option value=\"Belarus\"  class=\"choice-21 depth-1\"  >Belarus<\/option><option value=\"Belgium\"  class=\"choice-22 depth-1\"  >Belgium<\/option><option value=\"Belize\"  class=\"choice-23 depth-1\"  >Belize<\/option><option value=\"Benin\"  class=\"choice-24 depth-1\"  >Benin<\/option><option value=\"Bhutan\"  class=\"choice-25 depth-1\"  >Bhutan<\/option><option value=\"Bolivia\"  class=\"choice-26 depth-1\"  >Bolivia<\/option><option value=\"Bosnia and Herzegovina\"  class=\"choice-27 depth-1\"  >Bosnia and Herzegovina<\/option><option value=\"Botswana\"  class=\"choice-28 depth-1\"  >Botswana<\/option><option value=\"Brazil\"  class=\"choice-29 depth-1\"  >Brazil<\/option><option value=\"Brunei\"  class=\"choice-30 depth-1\"  >Brunei<\/option><option value=\"Bulgaria\"  class=\"choice-31 depth-1\"  >Bulgaria<\/option><option value=\"Burkina Faso\"  class=\"choice-32 depth-1\"  >Burkina Faso<\/option><option value=\"Burundi\"  class=\"choice-33 depth-1\"  >Burundi<\/option><option value=\"Cabo Verde\"  class=\"choice-35 depth-1\"  >Cabo Verde<\/option><option value=\"Cambodia\"  class=\"choice-36 depth-1\"  >Cambodia<\/option><option value=\"Cameroon\"  class=\"choice-37 depth-1\"  >Cameroon<\/option><option value=\"Canada\"  class=\"choice-38 depth-1\"  >Canada<\/option><option value=\"Central African Republic\"  class=\"choice-39 depth-1\"  >Central African Republic<\/option><option value=\"Chad\"  class=\"choice-40 depth-1\"  >Chad<\/option><option value=\"Chile\"  class=\"choice-41 depth-1\"  >Chile<\/option><option value=\"China\"  class=\"choice-42 depth-1\"  >China<\/option><option value=\"Colombia\"  class=\"choice-43 depth-1\"  >Colombia<\/option><option value=\"Comoros\"  class=\"choice-44 depth-1\"  >Comoros<\/option><option value=\"Congo, Democratic Republic of the\"  class=\"choice-45 depth-1\"  >Congo, Democratic Republic of the<\/option><option value=\"Congo, Republic of the\"  class=\"choice-46 depth-1\"  >Congo, Republic of the<\/option><option value=\"Costa Rica\"  class=\"choice-47 depth-1\"  >Costa Rica<\/option><option value=\"C\u00f4te d\u2019Ivoire\"  class=\"choice-48 depth-1\"  >C\u00f4te d\u2019Ivoire<\/option><option value=\"Croatia\"  class=\"choice-49 depth-1\"  >Croatia<\/option><option value=\"Cuba\"  class=\"choice-50 depth-1\"  >Cuba<\/option><option value=\"Cyprus\"  class=\"choice-51 depth-1\"  >Cyprus<\/option><option value=\"Czech Republic\"  class=\"choice-52 depth-1\"  >Czech Republic<\/option><option value=\"Denmark\"  class=\"choice-54 depth-1\"  >Denmark<\/option><option value=\"Djibouti\"  class=\"choice-55 depth-1\"  >Djibouti<\/option><option value=\"Dominica\"  class=\"choice-56 depth-1\"  >Dominica<\/option><option value=\"Dominican Republic\"  class=\"choice-57 depth-1\"  >Dominican Republic<\/option><option value=\"East Timor (Timor-Leste)\"  class=\"choice-59 depth-1\"  >East Timor (Timor-Leste)<\/option><option value=\"Ecuador\"  class=\"choice-60 depth-1\"  >Ecuador<\/option><option value=\"Egypt\"  class=\"choice-61 depth-1\"  >Egypt<\/option><option value=\"El Salvador\"  class=\"choice-62 depth-1\"  >El Salvador<\/option><option value=\"Equatorial Guinea\"  class=\"choice-63 depth-1\"  >Equatorial Guinea<\/option><option value=\"Eritrea\"  class=\"choice-64 depth-1\"  >Eritrea<\/option><option value=\"Estonia\"  class=\"choice-65 depth-1\"  >Estonia<\/option><option value=\"Eswatini\"  class=\"choice-66 depth-1\"  >Eswatini<\/option><option value=\"Ethiopia\"  class=\"choice-67 depth-1\"  >Ethiopia<\/option><option value=\"Fiji\"  class=\"choice-69 depth-1\"  >Fiji<\/option><option value=\"Finland\"  class=\"choice-70 depth-1\"  >Finland<\/option><option value=\"France\"  class=\"choice-71 depth-1\"  >France<\/option><option value=\"Gabon\"  class=\"choice-73 depth-1\"  >Gabon<\/option><option value=\"The Gambia\"  class=\"choice-74 depth-1\"  >The Gambia<\/option><option value=\"Georgia\"  class=\"choice-75 depth-1\"  >Georgia<\/option><option value=\"Germany\"  class=\"choice-76 depth-1\"  >Germany<\/option><option value=\"Ghana\"  class=\"choice-77 depth-1\"  >Ghana<\/option><option value=\"Greece\"  class=\"choice-78 depth-1\"  >Greece<\/option><option value=\"Grenada\"  class=\"choice-79 depth-1\"  >Grenada<\/option><option value=\"Guatemala\"  class=\"choice-80 depth-1\"  >Guatemala<\/option><option value=\"Guinea\"  class=\"choice-81 depth-1\"  >Guinea<\/option><option value=\"Guinea-Bissau\"  class=\"choice-82 depth-1\"  >Guinea-Bissau<\/option><option value=\"Guyana\"  class=\"choice-83 depth-1\"  >Guyana<\/option><option value=\"Haiti\"  class=\"choice-85 depth-1\"  >Haiti<\/option><option value=\"Honduras\"  class=\"choice-86 depth-1\"  >Honduras<\/option><option value=\"Hungary\"  class=\"choice-87 depth-1\"  >Hungary<\/option><option value=\"Iceland\"  class=\"choice-89 depth-1\"  >Iceland<\/option><option value=\"India\"  class=\"choice-90 depth-1\"  >India<\/option><option value=\"Indonesia\"  class=\"choice-91 depth-1\"  >Indonesia<\/option><option value=\"Iran\"  class=\"choice-92 depth-1\"  >Iran<\/option><option value=\"Iraq\"  class=\"choice-93 depth-1\"  >Iraq<\/option><option value=\"Ireland\"  class=\"choice-94 depth-1\"  >Ireland<\/option><option value=\"Israel\"  class=\"choice-95 depth-1\"  >Israel<\/option><option value=\"Italy\"  class=\"choice-96 depth-1\"  >Italy<\/option><option value=\"Jamaica\"  class=\"choice-98 depth-1\"  >Jamaica<\/option><option value=\"Japan\"  class=\"choice-99 depth-1\"  >Japan<\/option><option value=\"Jordan\"  class=\"choice-100 depth-1\"  >Jordan<\/option><option value=\"Kazakhstan\"  class=\"choice-102 depth-1\"  >Kazakhstan<\/option><option value=\"Kenya\"  class=\"choice-103 depth-1\"  >Kenya<\/option><option value=\"Kiribati\"  class=\"choice-104 depth-1\"  >Kiribati<\/option><option value=\"Korea, North\"  class=\"choice-105 depth-1\"  >Korea, North<\/option><option value=\"Korea, South\"  class=\"choice-106 depth-1\"  >Korea, South<\/option><option value=\"Kosovo\"  class=\"choice-107 depth-1\"  >Kosovo<\/option><option value=\"Kuwait\"  class=\"choice-108 depth-1\"  >Kuwait<\/option><option value=\"Kyrgyzstan\"  class=\"choice-109 depth-1\"  >Kyrgyzstan<\/option><option value=\"Laos\"  class=\"choice-111 depth-1\"  >Laos<\/option><option value=\"Latvia\"  class=\"choice-112 depth-1\"  >Latvia<\/option><option value=\"Lebanon\"  class=\"choice-113 depth-1\"  >Lebanon<\/option><option value=\"Lesotho\"  class=\"choice-114 depth-1\"  >Lesotho<\/option><option value=\"Liberia\"  class=\"choice-115 depth-1\"  >Liberia<\/option><option value=\"Libya\"  class=\"choice-116 depth-1\"  >Libya<\/option><option value=\"Liechtenstein\"  class=\"choice-117 depth-1\"  >Liechtenstein<\/option><option value=\"Lithuania\"  class=\"choice-118 depth-1\"  >Lithuania<\/option><option value=\"Luxembourg\"  class=\"choice-119 depth-1\"  >Luxembourg<\/option><option value=\"Madagascar\"  class=\"choice-121 depth-1\"  >Madagascar<\/option><option value=\"Malawi\"  class=\"choice-122 depth-1\"  >Malawi<\/option><option value=\"Malaysia\"  class=\"choice-123 depth-1\"  >Malaysia<\/option><option value=\"Maldives\"  class=\"choice-124 depth-1\"  >Maldives<\/option><option value=\"Mali\"  class=\"choice-125 depth-1\"  >Mali<\/option><option value=\"Malta\"  class=\"choice-126 depth-1\"  >Malta<\/option><option value=\"Marshall Islands\"  class=\"choice-127 depth-1\"  >Marshall Islands<\/option><option value=\"Mauritania\"  class=\"choice-128 depth-1\"  >Mauritania<\/option><option value=\"Mauritius\"  class=\"choice-129 depth-1\"  >Mauritius<\/option><option value=\"Mexico\"  class=\"choice-130 depth-1\"  >Mexico<\/option><option value=\"Micronesia, Federated States of\"  class=\"choice-131 depth-1\"  >Micronesia, Federated States of<\/option><option value=\"Moldova\"  class=\"choice-132 depth-1\"  >Moldova<\/option><option value=\"Monaco\"  class=\"choice-133 depth-1\"  >Monaco<\/option><option value=\"Mongolia\"  class=\"choice-134 depth-1\"  >Mongolia<\/option><option value=\"Montenegro\"  class=\"choice-135 depth-1\"  >Montenegro<\/option><option value=\"Morocco\"  class=\"choice-136 depth-1\"  >Morocco<\/option><option value=\"Mozambique\"  class=\"choice-137 depth-1\"  >Mozambique<\/option><option value=\"Myanmar (Burma)\"  class=\"choice-138 depth-1\"  >Myanmar (Burma)<\/option><option value=\"Namibia\"  class=\"choice-140 depth-1\"  >Namibia<\/option><option value=\"Nauru\"  class=\"choice-141 depth-1\"  >Nauru<\/option><option value=\"Nepal\"  class=\"choice-142 depth-1\"  >Nepal<\/option><option value=\"Netherlands\"  class=\"choice-143 depth-1\"  >Netherlands<\/option><option value=\"New Zealand\"  class=\"choice-144 depth-1\"  >New Zealand<\/option><option value=\"Nicaragua\"  class=\"choice-145 depth-1\"  >Nicaragua<\/option><option value=\"Niger\"  class=\"choice-146 depth-1\"  >Niger<\/option><option value=\"Nigeria\"  class=\"choice-147 depth-1\"  >Nigeria<\/option><option value=\"North Macedonia\"  class=\"choice-148 depth-1\"  >North Macedonia<\/option><option value=\"Norway\"  class=\"choice-149 depth-1\"  >Norway<\/option><option value=\"Oman\"  class=\"choice-151 depth-1\"  >Oman<\/option><option value=\"Pakistan\"  class=\"choice-153 depth-1\"  >Pakistan<\/option><option value=\"Palau\"  class=\"choice-154 depth-1\"  >Palau<\/option><option value=\"Panama\"  class=\"choice-155 depth-1\"  >Panama<\/option><option value=\"Papua New Guinea\"  class=\"choice-156 depth-1\"  >Papua New Guinea<\/option><option value=\"Paraguay\"  class=\"choice-157 depth-1\"  >Paraguay<\/option><option value=\"Peru\"  class=\"choice-158 depth-1\"  >Peru<\/option><option value=\"Philippines\"  class=\"choice-159 depth-1\"  >Philippines<\/option><option value=\"Poland\"  class=\"choice-160 depth-1\"  >Poland<\/option><option value=\"Portugal\"  class=\"choice-161 depth-1\"  >Portugal<\/option><option value=\"Qatar\"  class=\"choice-163 depth-1\"  >Qatar<\/option><option value=\"Romania\"  class=\"choice-165 depth-1\"  >Romania<\/option><option value=\"Russia\"  class=\"choice-166 depth-1\"  >Russia<\/option><option value=\"Rwanda\"  class=\"choice-167 depth-1\"  >Rwanda<\/option><option value=\"Saint Kitts and Nevis\"  class=\"choice-169 depth-1\"  >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\"  class=\"choice-170 depth-1\"  >Saint Lucia<\/option><option value=\"Saint Vincent and the Grenadines\"  class=\"choice-171 depth-1\"  >Saint Vincent and the Grenadines<\/option><option value=\"Samoa\"  class=\"choice-172 depth-1\"  >Samoa<\/option><option value=\"San Marino\"  class=\"choice-173 depth-1\"  >San Marino<\/option><option value=\"Sao Tome and Principe\"  class=\"choice-174 depth-1\"  >Sao Tome and Principe<\/option><option value=\"Saudi Arabia\"  class=\"choice-175 depth-1\"  >Saudi Arabia<\/option><option value=\"Senegal\"  class=\"choice-176 depth-1\"  >Senegal<\/option><option value=\"Serbia\"  class=\"choice-177 depth-1\"  >Serbia<\/option><option value=\"Seychelles\"  class=\"choice-178 depth-1\"  >Seychelles<\/option><option value=\"Sierra Leone\"  class=\"choice-179 depth-1\"  >Sierra Leone<\/option><option value=\"Singapore\"  class=\"choice-180 depth-1\"  >Singapore<\/option><option value=\"Slovakia\"  class=\"choice-181 depth-1\"  >Slovakia<\/option><option value=\"Slovenia\"  class=\"choice-182 depth-1\"  >Slovenia<\/option><option value=\"Solomon Islands\"  class=\"choice-183 depth-1\"  >Solomon Islands<\/option><option value=\"Somalia\"  class=\"choice-184 depth-1\"  >Somalia<\/option><option value=\"South Africa\"  class=\"choice-185 depth-1\"  >South Africa<\/option><option value=\"Spain\"  class=\"choice-186 depth-1\"  >Spain<\/option><option value=\"Sri Lanka\"  class=\"choice-187 depth-1\"  >Sri Lanka<\/option><option value=\"Sudan\"  class=\"choice-188 depth-1\"  >Sudan<\/option><option value=\"Sudan, South\"  class=\"choice-189 depth-1\"  >Sudan, South<\/option><option value=\"Suriname\"  class=\"choice-190 depth-1\"  >Suriname<\/option><option value=\"Sweden\"  class=\"choice-191 depth-1\"  >Sweden<\/option><option value=\"Switzerland\"  class=\"choice-192 depth-1\"  >Switzerland<\/option><option value=\"Syria\"  class=\"choice-193 depth-1\"  >Syria<\/option><option value=\"Taiwan\"  class=\"choice-194 depth-1\"  >Taiwan<\/option><option value=\"Tajikistan\"  class=\"choice-195 depth-1\"  >Tajikistan<\/option><option value=\"Tanzania\"  class=\"choice-196 depth-1\"  >Tanzania<\/option><option value=\"Thailand\"  class=\"choice-197 depth-1\"  >Thailand<\/option><option value=\"Togo\"  class=\"choice-198 depth-1\"  >Togo<\/option><option value=\"Tonga\"  class=\"choice-199 depth-1\"  >Tonga<\/option><option value=\"Trinidad and Tobago\"  class=\"choice-200 depth-1\"  >Trinidad and Tobago<\/option><option value=\"Tunisia\"  class=\"choice-201 depth-1\"  >Tunisia<\/option><option value=\"Turkey\"  class=\"choice-202 depth-1\"  >Turkey<\/option><option value=\"Turkmenistan\"  class=\"choice-203 depth-1\"  >Turkmenistan<\/option><option value=\"Tuvalu\"  class=\"choice-204 depth-1\"  >Tuvalu<\/option><option value=\"Uganda\"  class=\"choice-205 depth-1\"  >Uganda<\/option><option value=\"Ukraine\"  class=\"choice-206 depth-1\"  >Ukraine<\/option><option value=\"United Arab Emirates\"  class=\"choice-207 depth-1\"  >United Arab Emirates<\/option><option value=\"United Kingdom\"  class=\"choice-208 depth-1\"  >United Kingdom<\/option><option value=\"Uruguay\"  class=\"choice-210 depth-1\"  >Uruguay<\/option><option value=\"Uzbekistan\"  class=\"choice-211 depth-1\"  >Uzbekistan<\/option><option value=\"Vanuatu\"  class=\"choice-212 depth-1\"  >Vanuatu<\/option><option value=\"Vatican City\"  class=\"choice-213 depth-1\"  >Vatican City<\/option><option value=\"Venezuela\"  class=\"choice-214 depth-1\"  >Venezuela<\/option><option value=\"Vietnam\"  class=\"choice-215 depth-1\"  >Vietnam<\/option><option value=\"Yemen\"  class=\"choice-216 depth-1\"  >Yemen<\/option><option value=\"Zambia\"  class=\"choice-217 depth-1\"  >Zambia<\/option><option value=\"Zimbabwe\"  class=\"choice-218 depth-1\"  >Zimbabwe<\/option><\/select><\/div><div id=\"wpforms-3046-field_3-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-3046-field_3\">What type of advocate are you? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-3046-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required=\"required\"><option value=\"Patient\"  class=\"choice-1 depth-1\"  >Patient<\/option><option value=\"Healthcare Provider\"  class=\"choice-2 depth-1\"  >Healthcare Provider<\/option><option value=\"Research\"  class=\"choice-3 depth-1\"  >Research<\/option><option value=\"Private Industry\"  class=\"choice-4 depth-1\"  >Private Industry<\/option><\/select><\/div><div id=\"wpforms-3046-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-3046-field_2\">Please tell us about your experience with activism for herpes. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-3046-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" aria-errormessage=\"wpforms-3046-field_2-error\" required><\/textarea><\/div><div id=\"wpforms-3046-field_5-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"5\"><fieldset><legend class=\"wpforms-field-label\">Hours per month to contribute: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-3046-field_5\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3046-field_5_1\" name=\"wpforms[fields][5]\" value=\"0-5\" aria-errormessage=\"wpforms-3046-field_5_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3046-field_5_1\">0-5<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3046-field_5_2\" name=\"wpforms[fields][5]\" value=\"6-10\" aria-errormessage=\"wpforms-3046-field_5_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3046-field_5_2\">6-10<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-3046-field_5_3\" name=\"wpforms[fields][5]\" value=\"11-20\" aria-errormessage=\"wpforms-3046-field_5_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3046-field_5_3\">11-20<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-3046-field_4-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"4\"><fieldset><legend class=\"wpforms-field-label\">Have you already done all steps on NEW ADVOCATES STARTERS GUIDE? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-3046-field_4\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-3046-field_4_1\" name=\"wpforms[fields][4][]\" value=\"Yes\" aria-errormessage=\"wpforms-3046-field_4_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3046-field_4_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-3046-field_4_2\" name=\"wpforms[fields][4][]\" value=\"No\" aria-errormessage=\"wpforms-3046-field_4_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3046-field_4_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-3046-field_7-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-id=\"7\"><fieldset><legend class=\"wpforms-field-label\">I agree to be interviewed for my role on the patient task force. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-3046-field_7\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-3046-field_7_1\" name=\"wpforms[fields][7][]\" value=\"Yes\" aria-errormessage=\"wpforms-3046-field_7_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3046-field_7_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-3046-field_7_2\" name=\"wpforms[fields][7][]\" value=\"No\" aria-errormessage=\"wpforms-3046-field_7_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3046-field_7_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-3046-field_8-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"8\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Interview Date \/ Time in EST <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-date-type-datepicker\"><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-3046-field_8\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][8][date]\" aria-errormessage=\"wpforms-3046-field_8-error\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><label for=\"wpforms-3046-field_8\" class=\"wpforms-field-sublabel after\">Date<\/label><\/div><div class=\"wpforms-field-row-block\"><input type=\"text\" id=\"wpforms-3046-field_8-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required\" data-time-format=\"g:i A\" data-step=\"30\" data-rule-time12h=\"true\" name=\"wpforms[fields][8][time]\" aria-errormessage=\"wpforms-3046-field_8-time-error\" required><label for=\"wpforms-3046-field_8-time\" class=\"wpforms-field-sublabel after\">Time<\/label><\/div><\/div><\/fieldset><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"3046\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/herpescureadvocacy.com\/wp-json\/wp\/v2\/pages\/3049\"><input type=\"hidden\" name=\"url_referer\" value=\"http:\/\/herpescureadvocacy.com\/patient-advocate-task-force-application\/\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-3046\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/herpescureadvocacy.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":205069572,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","footnotes":""},"class_list":["post-3049","page","type-page","status-publish","hentry","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Patient Advocate Task Force Application - Herpes Cure Advocacy<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/herpescureadvocacy.com\/patient-advocate-task-force-application\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" 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stakeholders, physicians, and scientists, and create change to better protect American families from neonatal herpes. LEARN MORE about what neonatal herpes is and it\u2019s impacts on infants and children. LEARN\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2022\/07\/pexels-photo-1556706-e1745032485660.jpg?fit=401%2C267&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":130,"url":"https:\/\/herpescureadvocacy.com\/advocacy-goals\/","url_meta":{"origin":3049,"position":1},"title":"Herpes Cure Advocacy Goals","author":"Patient Advocate","date":"May 11, 2021","format":false,"excerpt":"Herpes Cure Advocacy goals: Herpes Simplex Virus Cure and Treatment National Institutes of Health US government funding for the NIH specifically earmarked for Herpes Simplex Virus HSV-1 and HSV-2 therapeutic cure research. Establish a goal of bringing a cure to market as soon as possible or before 2023.Establish specific funding\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/04\/bxoalw8gt66vbo1wcfoo_img_9181-1.jpg?fit=1200%2C800&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/04\/bxoalw8gt66vbo1wcfoo_img_9181-1.jpg?fit=1200%2C800&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/04\/bxoalw8gt66vbo1wcfoo_img_9181-1.jpg?fit=1200%2C800&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/04\/bxoalw8gt66vbo1wcfoo_img_9181-1.jpg?fit=1200%2C800&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/04\/bxoalw8gt66vbo1wcfoo_img_9181-1.jpg?fit=1200%2C800&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":509,"url":"https:\/\/herpescureadvocacy.com\/advocacy-alerts\/","url_meta":{"origin":3049,"position":2},"title":"Herpes Cure Advocacy: Action Alerts","author":"Patient Advocate","date":"November 27, 2021","format":false,"excerpt":"ADVOCACY ALERTS\ud83d\udea8\ud83d\udea8\ud83d\udea8 Use your voice. The movement for change starts with you. Don't underestimate the power of an email or a phone call. August 9 Advocates Town Hall Meeting Calling all advocates! Please register today for this town hall meeting with our advocate task force. Learn about our latest priorities\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2022\/03\/crop-0-0-768-429-0-bullhorn-web-768x429-1.jpg?fit=768%2C429&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2022\/03\/crop-0-0-768-429-0-bullhorn-web-768x429-1.jpg?fit=768%2C429&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2022\/03\/crop-0-0-768-429-0-bullhorn-web-768x429-1.jpg?fit=768%2C429&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2022\/03\/crop-0-0-768-429-0-bullhorn-web-768x429-1.jpg?fit=768%2C429&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":380,"url":"https:\/\/herpescureadvocacy.com\/members\/","url_meta":{"origin":3049,"position":3},"title":"Become an Advocate!","author":"Patient Advocate","date":"October 14, 2021","format":false,"excerpt":"Join our nearly 10,000 members rallying for a cure.","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/07\/pexels-photo-697243.jpg?fit=1200%2C800&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/07\/pexels-photo-697243.jpg?fit=1200%2C800&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/07\/pexels-photo-697243.jpg?fit=1200%2C800&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/07\/pexels-photo-697243.jpg?fit=1200%2C800&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/07\/pexels-photo-697243.jpg?fit=1200%2C800&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":332,"url":"https:\/\/herpescureadvocacy.com\/who-we-are\/","url_meta":{"origin":3049,"position":4},"title":"Patient Advisory Board","author":"Patient Advocate","date":"October 8, 2021","format":false,"excerpt":"Herpes Cure Advocacy Executive Board: Mark Frey (Australia) Jason Goldberg (United Kingdom) Ronnie Naples (USA, Connecticut) Kimberly Dixon (USA, Pennsylvania) To maintain privacy, personal information on Herpes Cure Advocacy Patient Advisory Board and membership is limited publicly. Want to help? Learn how to get involved with advocacy with HSV New\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/07\/pexels-photo-697243.jpg?fit=1200%2C800&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/07\/pexels-photo-697243.jpg?fit=1200%2C800&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/07\/pexels-photo-697243.jpg?fit=1200%2C800&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/07\/pexels-photo-697243.jpg?fit=1200%2C800&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/herpescureadvocacy.com\/wp-content\/uploads\/2021\/07\/pexels-photo-697243.jpg?fit=1200%2C800&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":1037,"url":"https:\/\/herpescureadvocacy.com\/hca-advocacy-meetings\/","url_meta":{"origin":3049,"position":5},"title":"HCA Advocacy Meetings","author":"Patient Advocate","date":"March 19, 2022","format":false,"excerpt":"Upcoming Meeting Dates Please join an upcoming Patient Advocate Board meeting to learn how you can help! 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