patient.labcorp.com
Open in
urlscan Pro
18.160.18.6
Public Scan
Submitted URL: https://click.labcorpmessage.com/?qs=b42dfa0daf5f6c5b08f0d634d05102443bbed932589991ab070fb0dff5633e914caefd5151cccaf822a98716cf58...
Effective URL: https://patient.labcorp.com/account/registration/register/Inactive_Results_V2
Submission: On November 23 via manual from US — Scanned from DE
Effective URL: https://patient.labcorp.com/account/registration/register/Inactive_Results_V2
Submission: On November 23 via manual from US — Scanned from DE
Form analysis 2 forms found in the DOM
<form _ngcontent-hpt-c116="" novalidate="" class="form-inline"><a _ngcontent-hpt-c116="" routerlink="/landing" class="ml-2 btn btn-primary" href="/landing">Sign In</a><!----></form><form _ngcontent-hpt-c128="" novalidate="" class="ng-untouched ng-pristine ng-invalid"><br _ngcontent-hpt-c128="">
<h3 _ngcontent-hpt-c128="" class="text-secondary">About You</h3>
<div _ngcontent-hpt-c128="" class="row">
<div _ngcontent-hpt-c128="" class="form-group col-sm-4 col-lg-3"><label _ngcontent-hpt-c128="" for="firstName">First Name</label><input _ngcontent-hpt-c128="" type="text" maxlength="25" formcontrolname="firstName" id="firstName"
class="form-control ng-untouched ng-pristine ng-invalid"><ui-form-field-msg _ngcontent-hpt-c128="" id="firstNameError" controlname="firstName" _nghost-hpt-c103=""><small _ngcontent-hpt-c103=""
class="form-text invalid-feedback d-none"><i _ngcontent-hpt-c103="" class="material-icons icon-sm">error_outline</i><span _ngcontent-hpt-c103="" class="align-self-center pl-1">This is a required field.</span></small></ui-form-field-msg>
</div>
<div _ngcontent-hpt-c128="" class="form-group col-sm-3 col-lg-2"><label _ngcontent-hpt-c128="" for="middleName">MI (Optional)</label><input _ngcontent-hpt-c128="" type="text" maxlength="1" formcontrolname="middleName" id="middleName"
class="form-control ng-untouched ng-pristine ng-valid"><ui-form-field-msg _ngcontent-hpt-c128="" id="middleNameError" controlname="middleName" _nghost-hpt-c103=""><small _ngcontent-hpt-c103=""
class="form-text invalid-feedback d-none"><i _ngcontent-hpt-c103="" class="material-icons icon-sm">error_outline</i><span _ngcontent-hpt-c103="" class="align-self-center pl-1"></span></small></ui-form-field-msg></div>
<div _ngcontent-hpt-c128="" class="form-group col-sm-4 col-lg-3"><label _ngcontent-hpt-c128="" for="lastName">Last Name</label><input _ngcontent-hpt-c128="" type="text" maxlength="30" formcontrolname="lastName" id="lastName"
class="form-control ng-untouched ng-pristine ng-invalid"><ui-form-field-msg _ngcontent-hpt-c128="" id="lastNameError" controlname="lastName" _nghost-hpt-c103=""><small _ngcontent-hpt-c103=""
class="form-text invalid-feedback d-none"><i _ngcontent-hpt-c103="" class="material-icons icon-sm">error_outline</i><span _ngcontent-hpt-c103="" class="align-self-center pl-1">This is a required field.</span></small></ui-form-field-msg>
</div>
</div><label _ngcontent-hpt-c128="">Gender</label>
<div _ngcontent-hpt-c128="" class="col-sm-2 col-lg-2 custom-control custom-radio"><input _ngcontent-hpt-c128="" type="radio" id="male" name="gender" formcontrolname="gender" value="MALE"
class="custom-control-input ng-untouched ng-pristine ng-invalid"><label _ngcontent-hpt-c128="" for="male" class="custom-control-label text-body">Male</label></div>
<div _ngcontent-hpt-c128="" class="col-sm-2 col-lg-2 custom-control custom-radio"><input _ngcontent-hpt-c128="" type="radio" id="female" name="gender" formcontrolname="gender" value="FEMALE"
class="custom-control-input ng-untouched ng-pristine ng-invalid"><label _ngcontent-hpt-c128="" for="female" class="custom-control-label text-body">Female</label></div>
<div _ngcontent-hpt-c128="" class="col-sm-4 col-lg-2 custom-control custom-radio"><input _ngcontent-hpt-c128="" type="radio" id="other" name="gender" formcontrolname="gender" value="UNKNOWN"
class="custom-control-input ng-untouched ng-pristine ng-invalid"><label _ngcontent-hpt-c128="" for="other" class="custom-control-label text-body">I'd rather not say</label></div><ui-form-field-msg _ngcontent-hpt-c128="" id="genderError"
controlname="gender" _nghost-hpt-c103=""><small _ngcontent-hpt-c103="" class="form-text invalid-feedback d-none"><i _ngcontent-hpt-c103="" class="material-icons icon-sm">error_outline</i><span _ngcontent-hpt-c103=""
class="align-self-center pl-1">This is a required field.</span></small></ui-form-field-msg><br _ngcontent-hpt-c128="">
<div _ngcontent-hpt-c128="" formgroupname="dobs" class="row form-group ng-untouched ng-pristine ng-invalid">
<div _ngcontent-hpt-c128="" class="form-group col-md-4"><label _ngcontent-hpt-c128="" for="dateOfBirth">Date of Birth</label><input _ngcontent-hpt-c128="" type="text" autocomplete="bday" formcontrolname="dateOfBirth" id="dateOfBirth" matinput=""
mask="00/00/0000" class="form-control ng-untouched ng-pristine ng-invalid"><ui-form-field-msg _ngcontent-hpt-c128="" id="dobError" controlname="dateOfBirth" _nghost-hpt-c103=""><small _ngcontent-hpt-c103=""
class="form-text invalid-feedback d-none"><i _ngcontent-hpt-c103="" class="material-icons icon-sm">error_outline</i><span _ngcontent-hpt-c103="" class="align-self-center pl-1">This is a required field.</span></small></ui-form-field-msg>
</div>
<div _ngcontent-hpt-c128="" class="form-group col-md-4"><label _ngcontent-hpt-c128="" for="confirmDateOfBirth">Confirm Date of Birth</label><input _ngcontent-hpt-c128="" type="text" formcontrolname="confirmDateOfBirth" id="confirmDateOfBirth"
matinput="" mask="00/00/0000" autocomplete="bday" class="form-control ng-untouched ng-pristine ng-invalid"><ui-form-field-msg _ngcontent-hpt-c128="" id="confirmdobError" controlname="confirmDateOfBirth" _nghost-hpt-c103=""><small
_ngcontent-hpt-c103="" class="form-text invalid-feedback d-none"><i _ngcontent-hpt-c103="" class="material-icons icon-sm">error_outline</i><span _ngcontent-hpt-c103="" class="align-self-center pl-1">This is a required
field.</span></small></ui-form-field-msg></div>
</div><br _ngcontent-hpt-c128="">
<h3 _ngcontent-hpt-c128="" class="text-secondary">Address and Phone</h3><!----><!---->
<div _ngcontent-hpt-c128="" formgroupname="address" class="form-group ng-untouched ng-pristine ng-invalid">
<div _ngcontent-hpt-c128="" class="row">
<div _ngcontent-hpt-c128="" class="form-group col-lg-4 col-md-6"><label _ngcontent-hpt-c128="" for="streetLine1">Street, PO Box</label><input _ngcontent-hpt-c128="" type="text" formcontrolname="street" id="streetLine1" maxlength="50"
class="form-control ng-untouched ng-pristine ng-invalid"><!----><ui-form-field-msg _ngcontent-hpt-c128="" id="streetLine1Error" controlname="street" _nghost-hpt-c103=""><small _ngcontent-hpt-c103=""
class="form-text invalid-feedback d-none"><i _ngcontent-hpt-c103="" class="material-icons icon-sm">error_outline</i><span _ngcontent-hpt-c103="" class="align-self-center pl-1">This is a required field.</span></small></ui-form-field-msg>
</div>
<div _ngcontent-hpt-c128="" class="form-group col-lg-4 col-md-6"><label _ngcontent-hpt-c128="" for="aptSuiteFloor">Apartment, Suite, Floor (Optional)</label><input _ngcontent-hpt-c128="" type="text" formcontrolname="aptSuiteFloor"
id="aptSuiteFloor" maxlength="50" class="form-control ng-untouched ng-pristine ng-valid"></div>
</div>
<div _ngcontent-hpt-c128="" class="row">
<div _ngcontent-hpt-c128="" class="form-group col-md-3"><label _ngcontent-hpt-c128="" for="city">City</label><input _ngcontent-hpt-c128="" type="text" formcontrolname="city" id="city" minlength="3" maxlength="50"
class="form-control ng-untouched ng-pristine ng-invalid"><ui-form-field-msg _ngcontent-hpt-c128="" id="cityError" controlname="city" _nghost-hpt-c103=""><small _ngcontent-hpt-c103=""
class="form-text invalid-feedback d-none"><i _ngcontent-hpt-c103="" class="material-icons icon-sm">error_outline</i><span _ngcontent-hpt-c103="" class="align-self-center pl-1">This is a required field.</span></small></ui-form-field-msg>
</div>
<div _ngcontent-hpt-c128="" class="col-lg-3 col-md-4 col-sm-6 form-group"><ui-select _ngcontent-hpt-c128="" controlname="state" domid="registrationState" label="State" placeholder="Select" _nghost-hpt-c104="" class="form-group d-block"><label
_ngcontent-hpt-c104="" for="registrationState">State</label><ng-select _ngcontent-hpt-c104="" class="ng-select ng-select-single ng-select-searchable ng-untouched ng-pristine ng-invalid">
<div class="ng-select-container">
<div class="ng-value-container">
<div class="ng-placeholder">Select</div><!----><!---->
<div role="combobox" aria-haspopup="listbox" class="ng-input" aria-expanded="false"><input aria-autocomplete="list" type="text" autocorrect="off" autocapitalize="off" autocomplete="a58a5d0af702" name="registrationState"></div>
</div><!----><!----><span class="ng-arrow-wrapper"><span class="ng-arrow"></span></span>
</div><!---->
</ng-select><!----></ui-select><ui-form-field-msg _ngcontent-hpt-c128="" id="stateError" controlname="state" _nghost-hpt-c103=""><small _ngcontent-hpt-c103=""
class="form-text invalid-feedback d-none"><i _ngcontent-hpt-c103="" class="material-icons icon-sm">error_outline</i><span _ngcontent-hpt-c103="" class="align-self-center pl-1">This is a required field.</span></small></ui-form-field-msg>
</div>
<div _ngcontent-hpt-c128="" class="col-md-2"><label _ngcontent-hpt-c128="" for="zipCode">ZIP Code</label><input _ngcontent-hpt-c128="" type="text" formcontrolname="zipCode" id="zipCode" maxlength="5"
oninput="zipCode.value = zipCode.value.replace(/[^0-9.]/g, '').replace(/(\..*)\./g, '$1');" class="form-control ng-untouched ng-pristine ng-invalid"><ui-form-field-msg _ngcontent-hpt-c128="" id="zipCodeError" controlname="zipCode"
_nghost-hpt-c103=""><small _ngcontent-hpt-c103="" class="form-text invalid-feedback d-none"><i _ngcontent-hpt-c103="" class="material-icons icon-sm">error_outline</i><span _ngcontent-hpt-c103="" class="align-self-center pl-1">This is a
required field.</span></small></ui-form-field-msg></div>
</div>
</div>
<div _ngcontent-hpt-c128="" formgroupname="phone" class="form-group ng-untouched ng-pristine ng-invalid">
<div _ngcontent-hpt-c128="" class="row">
<div _ngcontent-hpt-c128="" class="form-group col-lg-2 col-md-3"><label _ngcontent-hpt-c128="" for="number">Phone Number</label><input _ngcontent-hpt-c128="" type="tel" formcontrolname="number" id="number" matinput="" mask="000-000-0000"
class="form-control ng-untouched ng-pristine ng-invalid"><!----></div>
<div _ngcontent-hpt-c128="" class="form-group col-lg-2 col-md-3"><ui-select _ngcontent-hpt-c128="" controlname="type" domid="registrationPhoneType" label="Type" placeholder="Select" _nghost-hpt-c104="" class="form-group d-block"><label
_ngcontent-hpt-c104="" for="registrationPhoneType">Type</label><ng-select _ngcontent-hpt-c104="" class="ng-select ng-select-single ng-select-disabled ng-untouched ng-pristine">
<div class="ng-select-container">
<div class="ng-value-container">
<div class="ng-placeholder">Select</div><!----><!---->
<div role="combobox" aria-haspopup="listbox" class="ng-input" aria-expanded="false"><input aria-autocomplete="list" type="text" autocorrect="off" autocapitalize="off" autocomplete="a221301b0bf9" name="registrationPhoneType"
readonly="" disabled=""></div>
</div><!----><!----><span class="ng-arrow-wrapper"><span class="ng-arrow"></span></span>
</div><!---->
</ng-select><!----></ui-select><ui-form-field-msg _ngcontent-hpt-c128="" id="phoneTypeError" controlname="type" _nghost-hpt-c103=""><small _ngcontent-hpt-c103=""
class="form-text invalid-feedback d-none"><i _ngcontent-hpt-c103="" class="material-icons icon-sm">error_outline</i><span _ngcontent-hpt-c103="" class="align-self-center pl-1"></span></small></ui-form-field-msg></div>
</div>
</div><br _ngcontent-hpt-c128="">
<h3 _ngcontent-hpt-c128="" class="text-secondary">Login and Identity Verification</h3>
<div _ngcontent-hpt-c128="" formgroupname="email" class="form-group ng-untouched ng-pristine ng-invalid">
<div _ngcontent-hpt-c128="" class="row">
<div _ngcontent-hpt-c128="" class="form-group col-md-5 col-lg-4"><label _ngcontent-hpt-c128="" for="emailAddress">Email Address - <em _ngcontent-hpt-c128="">this will be your "User ID"</em></label><input _ngcontent-hpt-c128="" type="email"
formcontrolname="emailAddress" onpaste="return false;" ondrop="return false;" id="emailAddress" class="form-control ng-untouched ng-pristine ng-invalid"><ui-form-field-msg _ngcontent-hpt-c128="" id="emailAddressError"
controlname="emailAddress" _nghost-hpt-c103=""><small _ngcontent-hpt-c103="" class="form-text invalid-feedback d-none"><i _ngcontent-hpt-c103="" class="material-icons icon-sm">error_outline</i><span _ngcontent-hpt-c103=""
class="align-self-center pl-1">This is a required field.</span></small></ui-form-field-msg></div>
<div _ngcontent-hpt-c128="" class="col-md-5 col-lg-4"><label _ngcontent-hpt-c128="" for="confirmEmailAddress">Confirm Email Address</label><input _ngcontent-hpt-c128="" type="email" formcontrolname="confirmEmailAddress" id="confirmEmailAddress"
onpaste="return false;" ondrop="return false;" class="form-control ng-untouched ng-pristine ng-invalid"><ui-form-field-msg _ngcontent-hpt-c128="" id="confirmEmailAddressError" controlname="confirmEmailAddress" _nghost-hpt-c103=""><small
_ngcontent-hpt-c103="" class="form-text invalid-feedback d-none"><i _ngcontent-hpt-c103="" class="material-icons icon-sm">error_outline</i><span _ngcontent-hpt-c103="" class="align-self-center pl-1">This is a required
field.</span></small></ui-form-field-msg></div>
</div>
</div>
<div _ngcontent-hpt-c128="" formgroupname="passWord" class="form-group ng-untouched ng-pristine ng-invalid">
<div _ngcontent-hpt-c128="" class="row">
<div _ngcontent-hpt-c128="" class="form-group col-md-4 col-lg-3"><label _ngcontent-hpt-c128="" for="password">Password</label>
<div _ngcontent-hpt-c128="" class="inner-addon right-addon">
<div _ngcontent-hpt-c128="" style="cursor: pointer;"><i _ngcontent-hpt-c128="" class="glyphicon material-icons">visibility_off</i></div><input _ngcontent-hpt-c128="" formcontrolname="password" id="password" placement="auto"
class="form-control ng-untouched ng-pristine ng-invalid" type="password"><!---->
</div><!----><ui-form-field-msg _ngcontent-hpt-c128="" id="passwordError" controlname="password" _nghost-hpt-c103=""><small _ngcontent-hpt-c103=""
class="form-text invalid-feedback d-none"><i _ngcontent-hpt-c103="" class="material-icons icon-sm">error_outline</i><span _ngcontent-hpt-c103="" class="align-self-center pl-1">This is a required
field.</span></small></ui-form-field-msg><!----><!---->
</div>
<div _ngcontent-hpt-c128="" class="form-group col-md-4 col-lg-3"><label _ngcontent-hpt-c128="" for="confirmPassword">Confirm Password</label>
<div _ngcontent-hpt-c128="" class="inner-addon right-addon">
<div _ngcontent-hpt-c128="" style="cursor: pointer;"><i _ngcontent-hpt-c128="" class="glyphicon material-icons">visibility_off</i></div><input _ngcontent-hpt-c128="" formcontrolname="confirmPassword" id="confirmPassword"
class="form-control ng-untouched ng-pristine ng-invalid" type="password">
</div><!----><ui-form-field-msg _ngcontent-hpt-c128="" id="confirmPasswordError" controlname="confirmPassword" _nghost-hpt-c103=""><small _ngcontent-hpt-c103=""
class="form-text invalid-feedback d-none"><i _ngcontent-hpt-c103="" class="material-icons icon-sm">error_outline</i><span _ngcontent-hpt-c103="" class="align-self-center pl-1">This is a required field.</span></small></ui-form-field-msg>
</div>
</div>
</div><br _ngcontent-hpt-c128="">
<h3 _ngcontent-hpt-c128="" class="text-secondary">Authorization</h3>
<div _ngcontent-hpt-c128="" class="custom-control custom-checkbox"><input _ngcontent-hpt-c128="" type="checkbox" formcontrolname="terms" id="terms" class="custom-control-input ng-untouched ng-pristine ng-invalid"><label _ngcontent-hpt-c128=""
for="terms" class="custom-control-label text-body small"> By checking this box, you confirm that you have read, understand and agree to the Labcorp
<a _ngcontent-hpt-c128="" routerlink="/terms-of-use" target="_blank" href="/terms-of-use"><u _ngcontent-hpt-c128="">Terms of Use</u></a> and
<a _ngcontent-hpt-c128="" href="https://www.labcorp.com/hipaa-privacy" target="_blank"><u _ngcontent-hpt-c128="">Web Privacy Statement</u></a>. </label><!----></div><br _ngcontent-hpt-c128="">
<div _ngcontent-hpt-c128=""><re-captcha _ngcontent-hpt-c128="" formcontrolname="captcha" required="" id="ngrecaptcha-0" class="ng-untouched ng-pristine ng-invalid">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Lc9dxsUAAAAAKQpkg-tisWDQ97sflC8EgyqE1L4&co=aHR0cHM6Ly9wYXRpZW50LmxhYmNvcnAuY29tOjQ0Mw..&hl=de&v=Km9gKuG06He-isPsP6saG8cn&size=normal&cb=e7d29otl3l67"
width="304" height="78" role="presentation" name="a-3elmdtgkmwlf" frameborder="0" scrolling="no" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe>
</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</re-captcha><!----><!----></div><br _ngcontent-hpt-c128="">
<div _ngcontent-hpt-c128=""><ui-button _ngcontent-hpt-c128="" _nghost-hpt-c99=""><button _ngcontent-hpt-c99="" class="btn btn-primary mb-3" type="submit" style="min-width: 0px;"><!----><!----><span _ngcontent-hpt-c99="">Create an
Account</span></button><!----><!----><!----><!----></ui-button></div>
</form>Text Content
menu * Make an Appointment * Billing and Insurance * Help Center Sign In NEW REGISTRATION ABOUT YOU First Nameerror_outlineThis is a required field. MI (Optional)error_outline Last Nameerror_outlineThis is a required field. Gender Male Female I'd rather not say error_outlineThis is a required field. Date of Birtherror_outlineThis is a required field. Confirm Date of Birtherror_outlineThis is a required field. ADDRESS AND PHONE Street, PO Boxerror_outlineThis is a required field. Apartment, Suite, Floor (Optional) Cityerror_outlineThis is a required field. State Select error_outlineThis is a required field. ZIP Codeerror_outlineThis is a required field. Phone Number Type Select error_outline LOGIN AND IDENTITY VERIFICATION Email Address - this will be your "User ID"error_outlineThis is a required field. Confirm Email Addresserror_outlineThis is a required field. Password visibility_off error_outlineThis is a required field. Confirm Password visibility_off error_outlineThis is a required field. AUTHORIZATION By checking this box, you confirm that you have read, understand and agree to the Labcorp Terms of Use and Web Privacy Statement. Create an Account GUEST SERVICES * Make an Appointment * Billing and Insurance * Order an At-home 24 Hour Urine Kit LABCORP PATIENT * Sign In * Create an Account * Change Password GET HELP * Help Center * Contact Us * Guest Servicesexpand_more * Make an Appointment * Billing and Insurance * Order an At-home 24 Hour Urine Kit * Labcorp Patientexpand_more * Sign In * Create an Account * Change Password * Get Helpexpand_more * Help Center * Contact Us * * Labcorp | Patient™ © 2022 Laboratory Corporation of America® Holdings. All Rights Reserved. Visit labcorp.com | Privacy Statement