Send a Greeting Card - Stanford Medicine Children's Health

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data-cmp-data-layer="{"greetingcardtabs-8c053caeef-item-c7e26b6946":{"@type":"sch/components/greetingcardtabs/item","repo:modifyDate":"2022-10-07T17:17:19Z","dc:title":"Tab 1"}}"><div class="container responsivegrid"> <div id="container-c7e26b6946" class="cmp-container" style="background-color:rgb(247,247,247);"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="container responsivegrid aem-GridColumn aem-GridColumn--default--12"><form data-action-type="foundation/components/form/actions/store" data-rules-json='null' method="POST" postaction="/content/sch/us/en/forms/patient-families/send-a-greeting-card.html" id="greeting-card-core-form" name="greeting-card-core-form" enctype="multipart/form-data" class="cmp-form aem-Grid aem-Grid--12 aem-Grid--default--12" role="form"> <input type="hidden" name=":formstart" value="/content/sch/us/en/forms/patient-families/send-a-greeting-card/jcr:content/root/container_1239320272/greetingcardtabs/item_1/container"/> <input type="hidden" name="_charset_" value="utf-8"/> <input type="hidden" name=":redirect" value="/content/sch/us/en/forms/patient-families/send-a-greeting-card/thank-you.html"/> <div class="formContainer container responsivegrid aem-GridColumn--default--none aem-GridColumn aem-GridColumn--default--10 aem-GridColumn--offset--default--0"> <div id="formContainer-3acf597817" class="cmp-container"> <div class="aem-Grid aem-Grid--10 aem-Grid--default--10 "> <div class="formRTE text aem-GridColumn aem-GridColumn--default--10"><div data-cmp-data-layer="{"formRTE-e5b6045277":{"@type":"sch/components/form/formRTE","xdm:text":"<p>Please complete the information below:</p>\r\n<p>Required fields are marked with a&nbsp;*</p>\r\n<h2>Create Your Greeting</h2>\r\n"}}" id="formRTE-e5b6045277" style="display: " class="cmp-text"> <p>Please complete the information below:</p> <p>Required fields are marked with a *</p> <h2>Create Your Greeting</h2> </div> </div> <div class="text aem-GridColumn aem-GridColumn--default--10"><div class="form-group" id="group_form_text_hnxypdun4kw" style="display: "> <div class="input-error-text"></div> <input type="text" id="form_text_hnxypdun4kw" style="display: " name="firstName" placeholder="* Your First Name" class="input-grey" required pattern=".*\S+.*"/> <label for="form_text_hnxypdun4kw">* Your First Name</label> </div> </div> <div class="text aem-GridColumn aem-GridColumn--default--10"><div class="form-group" id="group_form_text_xspdvlia6ud" style="display: "> <div class="input-error-text"></div> <input type="text" id="form_text_xspdvlia6ud" style="display: " name="lastName" placeholder="* Your Last Name" class="input-grey" required pattern=".*\S+.*"/> <label for="form_text_xspdvlia6ud">* Your Last Name</label> </div> </div> <div class="text aem-GridColumn aem-GridColumn--default--10"><div class="form-group" id="group_form_text_5kg2s8bt1as" style="display: "> <div class="input-error-text"></div> <input type="email" id="form_text_5kg2s8bt1as" style="display: " name="emailaddress" placeholder="* Your E-mail Address" class="input-grey" required/> <label for="form_text_5kg2s8bt1as">* Your E-mail Address</label> </div> </div> <div class="options aem-GridColumn aem-GridColumn--default--10"> <fieldset class="cmp-form-options cmp-form-options--drop-down" id="options_8oble24ls5b" aria-label="cmp-form-options" role="group" style="display: " data-options-error-message="This field is required"> <div class="input-error-text"></div> <select class="cmp-form-options__field cmp-form-options__field--drop-down" name="greeting" id="select-options_8oble24ls5b" required="true"> <option value="">Please Select</option> <option id="options_h1syarpu0pp" value="5">Happy Halloween:-)</option> <option id="options_568znvz3ogk" value="6">Happy Hanukkah</option> <option id="options_bm1prd89kmt" value="7">Happy Holidays</option> <option id="options_dfgvn4bbu87" value="8">Happy Kwanzaa</option> <option id="options_xqcp1ho9hqk" value="9">Happy New Year</option> <option id="options_71v4u6uw8q7" value="11">I Love You</option> <option id="options_6r5utx1szi" value="12">It's a Boy</option> <option id="options_1d5o8s9suw4i" value="13">It's a Girl</option> <option id="options_e7c73uaybh" value="14">Merry Christmas</option> <option id="options_fv42twhxqd6" value="15">Thinking of You</option> <option id="options_veyou49ac" value="16">We Love You</option> <option id="options_xd44rk8eue" value="17">We Miss You</option> <option id="options_5isd66ypplc" value="21">Felices fiestas</option> <option id="options_7n412q6t5ru" value="22">Felicidades</option> <option id="options_6izi85my8sa" value="26">Feliz Halloween</option> <option id="options_cx8mm5lrlhk" value="27">Feliz Hanukkah</option> <option id="options_fzm4c64oynu" value="28">Feliz Kwanzaa</option> <option id="options_ld3f9aqzbeo" value="29">Feliz navidad</option> <option id="options_t6qiqbvxca8" value="31">Que te mejores pronto</option> <option id="options_1lcbz08ztww" value="33">Te queremos</option> <option id="options_efz5nltp18" value="34">Te quiero</option> <option id="options_z6womix7gn" value="35">Be My Valentine!</option> <option value="4">Happy Birthday!!</option> </select> <input type="text" name="optionselect" id="optionselect-options_8oble24ls5b" placeholder="* Greeting:"/> <label class="cmp-form-options__label" for="select-options_8oble24ls5b">* Greeting:</label> </fieldset> <script src="/etc.clientlibs/sch/components/form/options/clientlibs/site.min.ACSHASH021110ee13491b13d1a3700857bcf598.js" async defer></script> </div> <div class="text aem-GridColumn aem-GridColumn--default--10"><div class="form-group" id="group_form_text_1dkcd28" style="display: "> <div class="input-error-text"></div> <textarea id="form_text_1dkcd28" placeholder="* Message" style="display: " name="message" required rows="4"></textarea> <label for="form_text_1dkcd28">* Message</label> </div> </div> <div class="text aem-GridColumn aem-GridColumn--default--10"><div class="form-group" id="group_form_text_wmmm5x16oq9" style="display: "> <div class="input-error-text"></div> <input type="text" id="form_text_wmmm5x16oq9" style="display: " name="patientFirstName" placeholder="* Patient’s First Name" class="input-grey" required pattern=".*\S+.*"/> <label for="form_text_wmmm5x16oq9">* Patient’s First Name</label> </div> </div> <div class="text aem-GridColumn aem-GridColumn--default--10"><div class="form-group" id="group_form_text_plq3ajj8589" style="display: "> <div class="input-error-text"></div> <input type="text" id="form_text_plq3ajj8589" style="display: " name="patientLastName" placeholder="* Patient’s Last Name" class="input-grey" required pattern=".*\S+.*"/> <label for="form_text_plq3ajj8589">* Patient’s Last Name</label> </div> </div> <div class="formRTE text aem-GridColumn aem-GridColumn--default--10"><div data-cmp-data-layer="{"form_rte_w88k57hq81a":{"@type":"sch/components/form/formRTE","xdm:text":"<p>The information below is optional, but it will help us make sure the correct patient receives your card.</p>\r\n"}}" id="form_rte_w88k57hq81a" style="display: " class="cmp-text"> <p>The information below is optional, but it will help us make sure the correct patient receives your card.</p> </div> </div> <div class="text aem-GridColumn aem-GridColumn--default--10"><div class="form-group" id="group_form_text_z64o0nfvzp" style="display: "> <div class="input-error-text"></div> <input type="text" id="form_text_z64o0nfvzp" style="display: " name="patientRoomNumber" placeholder="Patient’s Room Number:" class="input-grey"/> <label for="form_text_z64o0nfvzp">Patient’s Room Number:</label> </div> </div> <div class="options aem-GridColumn aem-GridColumn--default--10"> <fieldset class="cmp-form-options cmp-form-options--drop-down" id="options_pnk9fi0p5p" aria-label="cmp-form-options" role="group" style="display: "> <div class="input-error-text"></div> <select class="cmp-form-options__field cmp-form-options__field--drop-down" name="patientGender" id="select-options_pnk9fi0p5p"> <option value="" selected disabled>Select One</option> <option value="M">Male</option> <option value="F">Female</option> </select> <input type="text" name="optionselect" id="optionselect-options_pnk9fi0p5p" placeholder="Patient’s Gender:"/> <label class="cmp-form-options__label" for="select-options_pnk9fi0p5p">Patient’s Gender:</label> </fieldset> </div> <div class="options aem-GridColumn aem-GridColumn--default--10"> <fieldset class="cmp-form-options cmp-form-options--drop-down" id="options_b77afhflzdr" aria-label="cmp-form-options" role="group" style="display: "> <div class="input-error-text"></div> <select class="cmp-form-options__field cmp-form-options__field--drop-down" name="patientBirthMonth" id="select-options_b77afhflzdr"> <option id="options_ze2wshd1jhe" value="" disabled></option> <option id="options_yxc5pdutuqt" value="1">January</option> <option id="options_45w3hl1cs7z" value="2">February</option> <option id="options_ce1msu6ine4" value="3">March</option> <option id="options_t8gaof3tvio" value="4">April</option> <option id="options_d8qm5rxu58w" value="5">May</option> <option id="options_7jg97jnh1y" value="6">June</option> <option id="options_zxj9jntmyep" value="7">July</option> <option id="options_km6qrs07r" value="8">August</option> <option id="options_vtond29u6vc" value="9">September</option> <option id="options_wa6jp827ywd" value="10">October</option> <option id="options_mo4jzg7cm6q" value="11">November</option> <option id="options_1cx3d96agav" value="12">December</option> </select> <input type="text" name="optionselect" id="optionselect-options_b77afhflzdr" placeholder="Patient’s Birth Month:"/> <label class="cmp-form-options__label" for="select-options_b77afhflzdr">Patient’s Birth Month:</label> </fieldset> </div> <div class="options aem-GridColumn aem-GridColumn--default--10"> <fieldset class="cmp-form-options cmp-form-options--drop-down" id="options_dqdkmpfiofd" aria-label="cmp-form-options" role="group" style="display: "> <div class="input-error-text"></div> <select class="cmp-form-options__field cmp-form-options__field--drop-down" name="patientBirthDay" id="select-options_dqdkmpfiofd"> <option id="options_hniamj" value="" disabled>Please Select</option> <option id="options_1bruvas" value="1">1</option> <option id="options_10t39a9" value="2">2</option> <option id="options_kdhc4q" value="3">3</option> <option id="options_187c83v" value="4">4</option> <option id="options_t31azr" value="5">5</option> <option id="options_bunck3" value="6">6</option> <option id="options_15m9qvn" value="7">7</option> <option id="options_r5d4pz" value="8">8</option> <option id="options_kzta8p" value="9">9</option> <option id="options_xnxtlt" value="10">10</option> <option id="options_3mjnl7" value="11">11</option> <option id="options_1vrjsyl" value="12">12</option> <option id="options_11flm5x" value="13">13</option> <option id="options_smkzsu" value="14">14</option> <option id="options_gpjoph" value="15">15</option> <option id="options_1x4tbq3" value="16">16</option> <option id="options_ez2dqo" value="17">17</option> <option id="options_422urk" value="18">18</option> <option id="options_1hy0ueb" value="19">19</option> <option id="options_e2rynp" value="20">20</option> <option id="options_pdrgn7" value="21">21</option> <option id="options_dwj4eg" value="22">22</option> <option id="options_1n9ljxm" value="23">23</option> <option id="options_1a02g2" value="24">24</option> <option id="options_sclvoc" value="25">25</option> <option id="options_1p9x1zt" value="26">26</option> <option id="options_8but4w" value="27">27</option> <option id="options_1rbrjpf" value="28">28</option> <option id="options_c76pxw" value="29">29</option> <option id="options_zgjsx8" value="30">30</option> <option id="options_1mm9qgf" value="31">31</option> </select> <input type="text" name="optionselect" id="optionselect-options_dqdkmpfiofd" placeholder="Patient’s Birth Day:"/> <label class="cmp-form-options__label" for="select-options_dqdkmpfiofd">Patient’s Birth Day:</label> </fieldset> </div> <div class="text aem-GridColumn aem-GridColumn--default--10"><div class="form-group" id="group_form_text_vey8ivfa8kk" style="display: "> <div class="input-error-text"></div> <input type="text" id="form_text_vey8ivfa8kk" style="display: " name="patientAge" placeholder="Patient’s Age:" class="input-grey"/> <label for="form_text_vey8ivfa8kk">Patient’s Age:</label> </div> </div> <div class="recaptcha aem-GridColumn aem-GridColumn--default--10"> <script src="/etc.clientlibs/sch/components/form/recaptcha/clientlibs/site.min.ACSHASH68545673efda06937caacbe5d9f0b574.js" async defer></script> <input type="hidden" id="recaptchaResponse" name="recaptcha_response_field"/> <input type="hidden" id="recaptchaSiteKey" value="6LcAoXYpAAAAANhIy5xb5uUay41lMQ-gc7WqeCr0" disabled="disabled"/> <input type="hidden" id="recaptchaDisabled" value="false" disabled="disabled"/> </div> <div class="button aem-GridColumn aem-GridColumn--default--10"><button type="BUTTON" id="change-card" class="cmp-form-button g-recaptcha">Change Card Selection</button> </div> <div class="button aem-GridColumn aem-GridColumn--default--10"><button type="BUTTON" id="preview" class="cmp-form-button g-recaptcha">Preview</button> </div> <div class="button aem-GridColumn aem-GridColumn--default--10"><button type="BUTTON" id="send-this-card" class="cmp-form-button g-recaptcha">Send This Card</button> </div> </div> </div> </div> <div class="formContainer container responsivegrid aem-GridColumn--default--none aem-GridColumn aem-GridColumn--offset--default--0 aem-GridColumn--default--2"> <div id="formContainer-aa3698daf1" class="cmp-container"> <div class="aem-Grid aem-Grid--2 aem-Grid--default--2 "> <div class="formRTE text aem-GridColumn aem-GridColumn--default--2"><div data-cmp-data-layer="{"formRTE-8938002a4b":{"@type":"sch/components/form/formRTE","xdm:text":"<h2>Card You Selected</h2>\r\n"}}" id="formRTE-8938002a4b" style="display: " class="cmp-text"> <h2>Card You Selected</h2> </div> </div> <div class="formRTE text aem-GridColumn aem-GridColumn--default--2"><div data-cmp-data-layer="{"form_rte_pqbsftqygvk":{"@type":"sch/components/form/formRTE","xdm:text":"<p id=\"selected-greeting-card\">Selected Card Appears Here</p>\r\n"}}" id="form_rte_pqbsftqygvk" style="display: " class="cmp-text"> <p id="selected-greeting-card">Selected Card Appears Here</p> </div> </div> </div> </div> </div> </form> <script src="/etc.clientlibs/sch/components/footer/clientlibs/footer.min.ACSHASHe3681333ff2bb29052fe89e090d8eb24.js" async defer></script> <script src="/etc.clientlibs/sch/components/form/container/clientlibs/site.min.ACSHASH490c7a92c34e5244651c2db97c07fa46.js" async defer></script> </div> </div> </div> </div> </div> <div id="greetingcardtabs-8c053caeef-item-8fa4eb949e-tabpanel" role="tabpanel" aria-label="cmp-tabpanel" class="cmp-tabs__tabpanel" data-cmp-hook-tabs="tabpanel" data-cmp-data-layer="{"greetingcardtabs-8c053caeef-item-8fa4eb949e":{"@type":"sch/components/greetingcardtabs/item","dc:title":"Tab 2"}}"><div class="container responsivegrid"> <div id="container-8fa4eb949e" class="cmp-container"> <div class="aem-Grid aem-Grid--12 aem-Grid--default--12 "> <div class="text aem-GridColumn aem-GridColumn--default--12"><div data-cmp-data-layer="{"text-b0501fe2da":{"@type":"sch/components/text","repo:modifyDate":"2024-01-30T22:17:15Z","xdm:text":"<p>Friends and family can now send greeting cards to a Packard Children's patient! You can choose one of the designs below and include a personal message. Your card will be printed at the hospital and delivered to the patient.</p>\r\n<p>To ensure that your card reaches the patient, please be sure it meets the following guidelines:</p>\r\n<ul>\r\n<li>The patient's name is spelled correctly. We are not able to deliver cards unless they are for a specific patient.</li>\r\n<li>The patient is at Lucile Packard Children's Hospital's main facility in Palo Alto or in our pediatric unit at El Camino Hospital.</li>\r\n<li>The card contains appropriate language.</li>\r\n</ul>\r\n<p>&nbsp;</p>\r\n<p>A card sent on a Monday-Friday before 12 pm will be delivered the same day. Otherwise, the card will be delivered the next business day.</p>\r\n"}}" id="text-b0501fe2da" class="cmp-text" aria-label="cmp-text" role="region"> <p>Friends and family can now send greeting cards to a Packard Children's patient! You can choose one of the designs below and include a personal message. Your card will be printed at the hospital and delivered to the patient.</p> <p>To ensure that your card reaches the patient, please be sure it meets the following guidelines:</p> <ul> <li>The patient's name is spelled correctly. We are not able to deliver cards unless they are for a specific patient.</li> <li>The patient is at Lucile Packard Children's Hospital's main facility in Palo Alto or in our pediatric unit at El Camino Hospital.</li> <li>The card contains appropriate language.</li> </ul> <p> </p> <p>A card sent on a Monday-Friday before 12 pm will be delivered the same day. Otherwise, the card will be delivered the next business day.</p> </div> </div> <div class="greetingcardlist aem-GridColumn aem-GridColumn--default--12"> <div class="greeting-card-list container" aria-label="greeting-card-list" role="region"> <div class="row"> <div class="col-6 col-sm-6 col-md-2 greeting-card" data-card-template-num="1" data-selected-card-id="1" data-card-image="/content/dam/sch/content-public/branding/greeting-card/540x360/Animals_Balloons_540x360.jpg"> <div class="card"> <img loading="lazy" src="/content/dam/sch/content-public/branding/greeting-card/540x360/animals_balloons_540x360__141x141_q85.jpg" class="card-img-top" alt=""/> <div class="card-body"> <h5>Animal Balloons</h5> </div> </div> </div> <div class="col-6 col-sm-6 col-md-2 greeting-card" data-card-template-num="1" data-selected-card-id="2" data-card-image="/content/dam/sch/content-public/branding/greeting-card/540x360/Banner_Confetti_540x360.jpg"> <div class="card"> <img loading="lazy" src="/content/dam/sch/content-public/branding/greeting-card/540x360/banner_confetti_540x360__141x141_q85.jpg" class="card-img-top" alt=""/> <div class="card-body"> <h5>Banner Confetti</h5> </div> </div> </div> <div class="col-6 col-sm-6 col-md-2 greeting-card" data-card-template-num="1" data-selected-card-id="3" data-card-image="/content/dam/sch/content-public/branding/greeting-card/540x360/Blooming Flowers_540x360.jpg"> <div class="card"> <img loading="lazy" src="/content/dam/sch/content-public/branding/greeting-card/540x360/blooming_flowers_540x360__141x141_q85.jpg" class="card-img-top" alt=""/> <div class="card-body"> <h5>Blooming Flowers</h5> </div> </div> </div> <div class="col-6 col-sm-6 col-md-2 greeting-card" data-card-template-num="1" data-selected-card-id="4" data-card-image="/content/dam/sch/content-public/branding/greeting-card/540x360/Forest Animals_540x360.jpg"> <div class="card"> <img loading="lazy" src="/content/dam/sch/content-public/branding/greeting-card/540x360/forest_animals_540x360__141x141_q85.jpg" class="card-img-top" alt=""/> <div class="card-body"> <h5>Forest Animals</h5> </div> </div> </div> <div class="col-6 col-sm-6 col-md-2 greeting-card" data-card-template-num="1" data-selected-card-id="5" data-card-image="/content/dam/sch/content-public/branding/greeting-card/540x360/Sea Waves_540x360.jpg"> <div class="card"> <img loading="lazy" src="/content/dam/sch/content-public/branding/greeting-card/540x360/sea_waves_540x360__141x141_q85.jpg" class="card-img-top" alt=""/> <div class="card-body"> <h5>Sea Waves</h5> </div> </div> </div> <div class="col-6 col-sm-6 col-md-2 greeting-card" data-card-template-num="1" data-selected-card-id="6" data-card-image="/content/dam/sch/content-public/branding/greeting-card/540x360/Superhero Kids_540x360.jpg"> <div class="card"> <img loading="lazy" src="/content/dam/sch/content-public/branding/greeting-card/540x360/superhero_kids_540x360__141x141_q85.jpg" class="card-img-top" alt=""/> <div class="card-body"> <h5>Superhero Kids</h5> </div> </div> </div> <div class="col-6 col-sm-6 col-md-2 greeting-card" data-card-template-num="1" data-selected-card-id="7" data-card-image="/content/dam/sch/content-public/branding/greeting-card/540x360/Valentine_Love Garden_540x360.jpg"> <div class="card"> <img loading="lazy" src="/content/dam/sch/content-public/branding/greeting-card/540x360/valentine_love_garden_540x360__141x141_q85.jpg" class="card-img-top" alt=""/> <div class="card-body"> <h5>Valentine Love Garden</h5> </div> </div> </div> <div class="col-6 col-sm-6 col-md-2 greeting-card" data-card-template-num="2" data-selected-card-id="8" data-card-image="/content/dam/sch/content-public/branding/greeting-card/540x582/Balloons_540x582.jpg"> <div class="card"> <img loading="lazy" src="/content/dam/sch/content-public/branding/greeting-card/540x582/balloons_540x582__141x141_q85.jpg" class="card-img-top" alt=""/> <div class="card-body"> <h5>Balloons</h5> </div> </div> </div> <div class="col-6 col-sm-6 col-md-2 greeting-card" data-card-template-num="2" data-selected-card-id="9" data-card-image="/content/dam/sch/content-public/branding/greeting-card/540x582/Cupcakes_540x582.jpg"> <div class="card"> <img loading="lazy" src="/content/dam/sch/content-public/branding/greeting-card/540x582/cupcakes_540x582__141x141_q85.jpg" class="card-img-top" alt=""/> <div class="card-body"> <h5>Cupcakes</h5> </div> </div> </div> <div class="col-6 col-sm-6 col-md-2 greeting-card" data-card-template-num="2" data-selected-card-id="10" data-card-image="/content/dam/sch/content-public/branding/greeting-card/540x582/Fall Leaves_540x582.jpg"> <div class="card"> <img loading="lazy" src="/content/dam/sch/content-public/branding/greeting-card/540x582/fall_leaves_540x582__141x141_q85.jpg" class="card-img-top" alt=""/> <div class="card-body"> <h5>Fall Leaves</h5> </div> </div> </div> <div class="col-6 col-sm-6 col-md-2 greeting-card" data-card-template-num="2" data-selected-card-id="11" data-card-image="/content/dam/sch/content-public/branding/greeting-card/540x582/Flowers_540x582.jpg"> <div class="card"> <img loading="lazy" src="/content/dam/sch/content-public/branding/greeting-card/540x582/flowers_540x582__141x141_q85.jpg" class="card-img-top" alt=""/> <div class="card-body"> <h5>Flowers</h5> </div> </div> </div> <div class="col-6 col-sm-6 col-md-2 greeting-card" data-card-template-num="2" data-selected-card-id="12" data-card-image="/content/dam/sch/content-public/branding/greeting-card/540x582/Hearts_540x582.jpg"> <div class="card"> <img loading="lazy" src="/content/dam/sch/content-public/branding/greeting-card/540x582/hearts_540x582__141x141_q85.jpg" class="card-img-top" alt=""/> <div class="card-body"> <h5>Hearts</h5> </div> </div> </div> <div class="col-6 col-sm-6 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