[contact-form][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Hospital Name’ type=’text’ required=’1’/][contact-field label=’Send me the Password Policy Template!’ type=’checkbox’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Website’ type=’url’/][contact-field label=’Comment’ type=’textarea’/][/contact-form]