{"id":11434,"date":"2017-09-05T11:36:22","date_gmt":"2017-09-05T15:36:22","guid":{"rendered":"https:\/\/www.bu.edu\/research\/?post_type=forms-policies&#038;p=11434"},"modified":"2018-05-10T14:29:45","modified_gmt":"2018-05-10T18:29:45","slug":"controlled-substance-disposal-request-form","status":"publish","type":"forms-policies","link":"https:\/\/www.bu.edu\/research\/forms-policies\/controlled-substance-disposal-request-form\/","title":{"rendered":"Controlled Substance Disposal Request Form"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_146' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_146'  action='\/research\/wp-json\/wp\/v2\/forms-policies\/11434' data-formid='146' >\n                        <div class='gform-body gform_body'><ul id='gform_fields_146' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_146_1\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_1\"><p style=\"text-align: left\">Your pickup will be scheduled within a week of submitting this form. Please call the Controlled Substance Program at (617) 638-4510 if further clarification is needed.<\/p><\/li><li id=\"field_146_2\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_2\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Check One:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_146_2'><li class='gchoice gchoice_146_2_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.1' type='checkbox'  value='Expired'  id='choice_146_2_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_146_2_1' id='label_146_2_1' class='gform-field-label gform-field-label--type-inline'>Expired<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_146_2_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.2' type='checkbox'  value='Unwanted Controlled Substance'  id='choice_146_2_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_146_2_2' id='label_146_2_2' class='gform-field-label gform-field-label--type-inline'>Unwanted Controlled Substance<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_146_3\"  class=\"gfield gfield--type-text gf_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_3\"><label class='gfield_label gform-field-label' for='input_146_3' >Department<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_146_3' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_64\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_64\"><label class='gfield_label gform-field-label'  >Campus<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_146_64'>\n\t\t\t<li class='gchoice gchoice_146_64_0'>\n\t\t\t\t<input name='input_64' type='radio' value='Boston University Medical Campus (BUMC)'  id='choice_146_64_0'    \/>\n\t\t\t\t<label for='choice_146_64_0' id='label_146_64_0' class='gform-field-label gform-field-label--type-inline'>Boston University Medical Campus (BUMC)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_146_64_1'>\n\t\t\t\t<input name='input_64' type='radio' value='Charles River Campus (CRC)'  id='choice_146_64_1'    \/>\n\t\t\t\t<label for='choice_146_64_1' id='label_146_64_1' class='gform-field-label gform-field-label--type-inline'>Charles River Campus (CRC)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_146_65\"  class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_65\"><label class='gfield_label gform-field-label' for='input_146_65' >BUMC Building<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_65' id='input_146_65' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Biosquare III' >Biosquare III<\/option><option value='E Building-Evans Building' >E Building-Evans Building<\/option><option value='K Building-Conte Research Building' >K Building-Conte Research Building<\/option><option value='L Building-Instructional Building' >L Building-Instructional Building<\/option><option value='620 Albany Street' >620 Albany Street<\/option><option value='R Building-Housman Research Building' >R Building-Housman Research Building<\/option><option value='W Building-CABR Building' >W Building-CABR Building<\/option><option value='X Building-EBRC Building' >X Building-EBRC Building<\/option><\/select><\/div><\/li><li id=\"field_146_66\"  class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_66\"><label class='gfield_label gform-field-label' for='input_146_66' >CRC Building<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_66' id='input_146_66' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='2 Cummington Mall' >2 Cummington Mall<\/option><option value='8 St. Mary&#039;s Street' >8 St. Mary&#039;s Street<\/option><option value='24 Cummington Mall' >24 Cummington Mall<\/option><option value='36 Cummington Mall' >36 Cummington Mall<\/option><option value='44 Cummington Mall' >44 Cummington Mall<\/option><option value='590 Commonwealth Ave' >590 Commonwealth Ave<\/option><option value='610 Commonwealth Ave' >610 Commonwealth Ave<\/option><option value='635 Commonwealth Ave' >635 Commonwealth Ave<\/option><\/select><\/div><\/li><li id=\"field_146_4\"  class=\"gfield gfield--type-text gf_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_4\"><label class='gfield_label gform-field-label' for='input_146_4' >Room<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_146_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_12\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_12\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_146_5\"  class=\"gfield gfield--type-text gf_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_5\"><label class='gfield_label gform-field-label' for='input_146_5' >PI\/Authorized Registrant<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_146_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_6\"  class=\"gfield gfield--type-text gf_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_6\"><label class='gfield_label gform-field-label' for='input_146_6' >Name of person to call for questions<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_146_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_63\"  class=\"gfield gfield--type-email gf_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_63\"><label class='gfield_label gform-field-label' for='input_146_63' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_63' id='input_146_63' type='text' value='' class='small'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_146_11\"  class=\"gfield gfield--type-phone gf_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_11\"><label class='gfield_label gform-field-label' for='input_146_11' >Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_11' id='input_146_11' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_146_8\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_8\"><h2 class=\"gsection_title\">Substance Description<\/h2><\/li><li id=\"field_146_13\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_13\"><label class='gfield_label gform-field-label' for='input_146_13' >Controlled Substance<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_146_13' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_67\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_67\"><label class='gfield_label gform-field-label' for='input_146_67' >NDC #:<\/label><div class='ginput_container ginput_container_text'><input name='input_67' id='input_146_67' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_68\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_68\"><label class='gfield_label gform-field-label' for='input_146_68' >Drug Schedule:<\/label><div class='ginput_container ginput_container_text'><input name='input_68' id='input_146_68' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_14\"  class=\"gfield gfield--type-number gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_14\"><label class='gfield_label gform-field-label' for='input_146_14' >Number of Containers<\/label><div class='ginput_container ginput_container_number'><input name='input_14' id='input_146_14' type='text'    value='' class='small'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_146_15\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_15\"><label class='gfield_label gform-field-label' for='input_146_15' >Concentration<\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_146_15' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_26\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_26\"><label class='gfield_label gform-field-label' for='input_146_26' >Volume<\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_146_26' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_17\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_17\"><label class='gfield_label gform-field-label' for='input_146_17' >Lot Number<\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_146_17' type='text' value='' class='small'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_19\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_19\"><label class='gfield_label gform-field-label' for='input_146_19' >Expiration Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_19' id='input_146_19' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_146_19_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_146_19_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_146_19' class='gform_hidden' value='https:\/\/www.bu.edu\/research\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_146_18\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_18\"><label class='gfield_label gform-field-label' for='input_146_18' >PO Number<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_146_18' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_52\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_52\"><hr><\/li><li id=\"field_146_21\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_21\"><label class='gfield_label gform-field-label' for='input_146_21' >Controlled Substance<\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_146_21' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_69\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_69\"><label class='gfield_label gform-field-label' for='input_146_69' >NDC #:<\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_146_69' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_70\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_70\"><label class='gfield_label gform-field-label' for='input_146_70' >Drug Schedule:<\/label><div class='ginput_container ginput_container_text'><input name='input_70' id='input_146_70' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_28\"  class=\"gfield gfield--type-number gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_28\"><label class='gfield_label gform-field-label' for='input_146_28' >Number of Containers<\/label><div class='ginput_container ginput_container_number'><input name='input_28' id='input_146_28' type='text'    value='' class='small'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_146_27\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_27\"><label class='gfield_label gform-field-label' for='input_146_27' >Concentration<\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_146_27' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_16\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_16\"><label class='gfield_label gform-field-label' for='input_146_16' >Volume<\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_146_16' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_25\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_25\"><label class='gfield_label gform-field-label' for='input_146_25' >Lot Number<\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_146_25' type='text' value='' class='small'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_24\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_24\"><label class='gfield_label gform-field-label' for='input_146_24' >Expiration Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_24' id='input_146_24' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_146_24_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_146_24_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_146_24' class='gform_hidden' value='https:\/\/www.bu.edu\/research\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_146_23\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_23\"><label class='gfield_label gform-field-label' for='input_146_23' >PO Number<\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_146_23' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_53\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_53\"><hr><\/li><li id=\"field_146_36\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_36\"><label class='gfield_label gform-field-label' for='input_146_36' >Controlled Substance<\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_146_36' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_71\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_71\"><label class='gfield_label gform-field-label' for='input_146_71' >NDC #:<\/label><div class='ginput_container ginput_container_text'><input name='input_71' id='input_146_71' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_72\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_72\"><label class='gfield_label gform-field-label' for='input_146_72' >Drug Schedule:<\/label><div class='ginput_container ginput_container_text'><input name='input_72' id='input_146_72' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_35\"  class=\"gfield gfield--type-number gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_35\"><label class='gfield_label gform-field-label' for='input_146_35' >Number of Containers<\/label><div class='ginput_container ginput_container_number'><input name='input_35' id='input_146_35' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_146_34\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_34\"><label class='gfield_label gform-field-label' for='input_146_34' >Concentration<\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_146_34' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_33\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_33\"><label class='gfield_label gform-field-label' for='input_146_33' >Volume<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_146_33' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_32\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_32\"><label class='gfield_label gform-field-label' for='input_146_32' >Lot Number<\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_146_32' type='text' value='' class='small'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_31\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_31\"><label class='gfield_label gform-field-label' for='input_146_31' >Expiration Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_31' id='input_146_31' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_146_31_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_146_31_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_146_31' class='gform_hidden' value='https:\/\/www.bu.edu\/research\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_146_30\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_30\"><label class='gfield_label gform-field-label' for='input_146_30' >PO Number<\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_146_30' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_54\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_54\"><hr><\/li><li id=\"field_146_45\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_45\"><label class='gfield_label gform-field-label' for='input_146_45' >Controlled Substance<\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_146_45' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_73\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_73\"><label class='gfield_label gform-field-label' for='input_146_73' >NDC #:<\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_146_73' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_74\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_74\"><label class='gfield_label gform-field-label' for='input_146_74' >Drug Schedule:<\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_146_74' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_56\"  class=\"gfield gfield--type-number gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_56\"><label class='gfield_label gform-field-label' for='input_146_56' >Number of Containers<\/label><div class='ginput_container ginput_container_number'><input name='input_56' id='input_146_56' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_146_42\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_42\"><label class='gfield_label gform-field-label' for='input_146_42' >Concentration<\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_146_42' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_41\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_41\"><label class='gfield_label gform-field-label' for='input_146_41' >Volume<\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_146_41' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_40\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_40\"><label class='gfield_label gform-field-label' for='input_146_40' >Lot Number<\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_146_40' type='text' value='' class='small'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_39\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_39\"><label class='gfield_label gform-field-label' for='input_146_39' >Expiration Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_39' id='input_146_39' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_146_39_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_146_39_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_146_39' class='gform_hidden' value='https:\/\/www.bu.edu\/research\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_146_38\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_38\"><label class='gfield_label gform-field-label' for='input_146_38' >PO Number<\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_146_38' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_55\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_55\"><hr><\/li><li id=\"field_146_57\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_57\"><label class='gfield_label gform-field-label' for='input_146_57' >Controlled Substance<\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_146_57' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_75\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_75\"><label class='gfield_label gform-field-label' for='input_146_75' >NDC #:<\/label><div class='ginput_container ginput_container_text'><input name='input_75' id='input_146_75' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_76\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_76\"><label class='gfield_label gform-field-label' for='input_146_76' >Drug Schedule:<\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_146_76' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_43\"  class=\"gfield gfield--type-number gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_43\"><label class='gfield_label gform-field-label' for='input_146_43' >Number of Containers<\/label><div class='ginput_container ginput_container_number'><input name='input_43' id='input_146_43' type='text'    value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_146_58\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_58\"><label class='gfield_label gform-field-label' for='input_146_58' >Concentration<\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_146_58' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_59\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_59\"><label class='gfield_label gform-field-label' for='input_146_59' >Volume<\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_146_59' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_60\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_60\"><label class='gfield_label gform-field-label' for='input_146_60' >Lot Number<\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_146_60' type='text' value='' class='small'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_61\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_61\"><label class='gfield_label gform-field-label' for='input_146_61' >Expiration Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_61' id='input_146_61' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_146_61_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_146_61_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_146_61' class='gform_hidden' value='https:\/\/www.bu.edu\/research\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_146_62\"  class=\"gfield gfield--type-text gf_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_62\"><label class='gfield_label gform-field-label' for='input_146_62' >PO Number<\/label><div class='ginput_container ginput_container_text'><input name='input_62' id='input_146_62' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_146_46\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_46\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_146_47\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_47\"><p>Document your logbook. Surrender all expired\/unwanted drugs to csp@bu.edu.<\/p><\/li><li id=\"field_146_51\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_51\"><\/li><li id=\"field_146_77\"  class=\"gfield gfield--type-section gsection bu_google_recaptcha_section field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_77\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_146_78\"  class=\"gfield gfield--type-html bu_google_recaptcha gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_78\"><div class=\"g-recaptcha\" data-sitekey=\"6LeGxkEjAAAAAK4nzHZn3a_6jB2ELSN935WrVBfC\"><\/div><\/li><li id=\"field_146_79\"  class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_146_79\"><label class='gfield_label gform-field-label' for='input_146_79' >Phone<\/label><div class='ginput_container'><input name='input_79' id='input_146_79' type='text' value='' \/><\/div><div class='gfield_description' id='gfield_description_146_79'>This field is for validation purposes and should be left unchanged.<\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_146' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_146\"]){return false;}  window[\"gf_submitting_146\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_146\"]){return false;} window[\"gf_submitting_146\"]=true;  jQuery(\"#gform_146\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_146' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='146' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_146' value='WyJbXSIsImQ5Y2U2OGUxNzE1OTZlYjZkN2E4MzI4YmJhNDVlODY3Il0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_146' id='gform_target_page_number_146' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_146' id='gform_source_page_number_146' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\ngform.initializeOnLoaded( function() {gformInitSpinner( 146, 'https:\/\/www.bu.edu\/research\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_146').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_146');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_146').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! 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