tekton.mediadigitalsource.com
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URL:
https://tekton.mediadigitalsource.com/
Submission: On June 24 via api from US — Scanned from DE
Submission: On June 24 via api from US — Scanned from DE
Form analysis
1 forms found in the DOM<form class="Twilio-DynamicForm css-1q82v9z">
<div class="css-pdm40g">Chat with your AI Coordinator and get all your questions answered in seconds!</div>
<div class="css-1iuo08m"><label class="css-8ixmbd">What is your first name? *</label>
<div class="jss14 jss1 css-x65cb4"><input class="jss24 jss9" name="friendlyName" placeholder="Enter your first name" type="text" value=""></div>
</div>
<div class="css-1iuo08m"><label class="css-8ixmbd">What is your mobile phone number? *</label>
<div class="jss14 jss1 css-x65cb4"><input class="jss24 jss9 jss27 jss12" name="phone-twilio" placeholder="Enter your mobile phone number" type="phone" value=""></div>
</div>
<div class="css-1iuo08m"><label class="css-8ixmbd">Zip code *</label>
<div class="jss14 jss1 css-x65cb4"><input class="jss24 jss9 jss27 jss12" name="zip" placeholder="Enter your zip code" type="zip" value=""></div>
</div>
<div class="css-1iuo08m"><label class="css-8ixmbd">Ask a question or just click Get Started to schedule your screening visit</label>
<div class="jss14 jss1 jss22 jss7 css-8nck9m"><textarea class="jss24 jss9 jss26 jss11" name="question" placeholder="Type your question here" rows="5"></textarea></div>
</div><button class="Twilio-Button Twilio-DynamicForm-submit css-512oh4" disabled="">Get Started</button>
</form>
Text Content
BIRD FLU VACCINE STUDY YOU CAN HELP BY PARTICIPATING AND TELLING OTHERS ABOUT YOUR EXPERIENCE. YOUR PARTICIPATION IS A CONTRIBUTION TOWARDS A HEALTHIER TOMORROW. Sign Me Up! Tekton Research is enrolling adults in a Bird Flu Vaccine Study in Edmond. You may be eligible to take part if you: * Are between the ages of 18 and 85 years old * Have a Body Mass Index (BMI) of 18-35kg/m² CALL NOW: (405) 939-5315 You need to enable JavaScript to run this app. Assistant Chat with your AI Coordinator and get all your questions answered in seconds! What is your first name? * What is your mobile phone number? * Zip code * Ask a question or just click Get Started to schedule your screening visit Get Started By entering your email address and phone number on this form, you consent to receiving communications (e.g., call, SMS, text, and/or email) from Tekton Research. Message and data rates may apply. For full details, refer to Tekton’s privacy policy. If you are enrolled in a trial and have questions, please call your research site. Powered by Areti Health. Why Should I Participate? * Research participation is vitally important in the development or improvement of investigational drugs. * Your participation in a clinical trial is completely voluntary. You may discontinue participation at any time during a clinical trial. * Participants may be compensated for their time and travel. Why Tekton? Tekton Research is a clinical research site that conducts clinical studies with the primary focus on improving the quality of life for all. We work with pharmaceutical and device companies to help bring new and more effective medications to those who need them. We conduct studies with a deliberate concentration on knowledge, skills, and integrity. Here at Tekton, our staff ensures that every potential and current study participant is accurately qualified for the most appropriate study based on criteria. © 2024 Tekton Research - All Rights Reserved