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1 forms found in the DOM

POST

<form action="" method="post" class="session__form js-session-form">
  <input type="hidden" name="authToken" value="">
  <input type="hidden" name="nonce" value="yuwht7ar3d7qa8o1f9gf85kf">
  <h2>Accept Invite</h2>
  <div class="field field--active field--show-floating-label">
    <div class="field__input-wrapper">
      <label class="field__label" for="password"> Create Password <span class="red-asterisk" aria-required="true" aria-label="required">*</span>
      </label>
      <input type="password" placeholder="Create Password" id="password" class="field__input input--expand js-input-autofocus" name="newPassword">
    </div>
  </div>
  <div class="field">
    <div class="field__input-wrapper">
      <label class="field__label" for="password-confirm"> Confirm Password <span class="red-asterisk" aria-required="true" aria-label="required">*</span>
      </label>
      <input type="password" placeholder="Confirm Password" id="password-confirm" class="field__input input--expand" name="newPasswordConfirmation">
    </div>
  </div>
  <div class="row">
    <div class="medium-8 columns">
      <div class="terms__checkbox__wrapper">
        <label class="row collapse">
          <div class="small-1 columns">
            <input type="checkbox" name="agreedTerms" class="js-terms-checkbox">
          </div>
          <div class="small-11 columns">
            <p> I agree to the <a href="https://www.optum.com/terms-of-use.html" target="_blank">Optum Care Terms &amp; Conditions</a> and the <a href="#" class="js-terms-modal ti-terms-only">Thought Industries Terms &amp; Conditions</a>
            </p>
          </div>
        </label>
      </div>
    </div>
    <div class="medium-4 columns">
      <input type="submit" class="btn btn--primary btn--expand submit" value="Accept Invite">
    </div>
  </div>
</form>

Text Content

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ACCEPT INVITE

Create Password *
Confirm Password *

I agree to the Optum Care Terms & Conditions and the Thought Industries Terms &
Conditions



TERMS & CONDITIONS

×

OPTUM CARE TERMS & CONDITIONS



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