marshfieldcovidtesting.as.me
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Submitted URL: http://marshfieldcares.com/
Effective URL: https://marshfieldcovidtesting.as.me/schedule.php
Submission: On January 12 via api from US — Scanned from DE
Effective URL: https://marshfieldcovidtesting.as.me/schedule.php
Submission: On January 12 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
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<div class="business-container all-steps-visible step-pane logo-is-visible">
<div class="business-logo-container" style="margin-bottom: -33px;">
<img src="//cdn-s.acuityscheduling.com/logo25041614.png?1641777313&hasAlpha=1&rectangular=1" class="business-logo" alt="Marshfield Covid Testing">
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<div class="business-content-logo-adjust-container">
<div class="heading-actions">
<div class="login-container client-login"> Returning?
<a href="client-login.php?owner=25041614&PHPSESSID=0ivv3c2v66psdq2ph8c06lingk&returnUrl=%2Fschedule.php%3Fowner%3D25041614%26" class="client-login-btn branded" data-qa="client-login-button">Log in</a>
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<div class="babel-ignore business-description">
<p style="text-align:center;"><strong>Welcome please read all instructions carefully </strong></p>
<p style="text-align:center;"><strong><u></u>Town of Marshfield Community COVID-19 Testing<u></u></strong></p>
<p style="text-align:center;"> <strong><u>Marshfield Residents ONLY</u></strong></p>
<p><br></p>
<p>Location: </p>
<p>Marshfield Fairgrounds</p>
<p>61 South River Street <strong>GATE “E”</strong></p>
<p>This testing is free of charge for residents of the Town of Marshfield </p>
<a href="https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fabout%2Fsymptoms.html%22%20%5C"></a>
<p><br><strong>NOT EVERYONE NEEDS TO BE TESTED</strong>. If you do get tested, you should self-quarantine/isolate at home pending test results and follow the advice of your health care provider or a public health
professional.<br><br><strong>PROOF OF RESIDENCY WILL BE REQUIRED AT THE TIME OF TESTING</strong>.<br><br> Limited time slots will be available on testing days. Please select a time slot from the list below. </p>
<p>Please arrive at your scheduled time as this will ensure manageable traffic flow. Testing will be done by drive-up; you will remain in your vehicle for the entire process unless otherwise directed by a staff member. Please follow the
designated traffic pattern.<br><br> Results are made available within 24-36 hours. </p>
<p>Results are provided by Care Evolve via the email address you provide or by a member of the Marshfield Board Of Health Department .</p>
<p>DO NOT CALL THE MARSHFIELD FIRE DEPARTMENT OR BROAD INSTITUTE FOR TEST RESULTS.<br><br> PLEASE ENSURE ALL DEMOGRAPHIC INFORMATION ENTERED IS ACCURATE.</p>
<p>DO NOT ADD a "1" in front of your phone number<br><br> NO appointments can be scheduled after 7am on same day of testing</p>
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<span class="appointment-type-name">Marshfield Only PCR Test</span>
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<a href="#" class="btn btn-primary btn-next-step-top btn-next-step" style="display:none">Continue »</a>
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<a href="#" class="btn btn-primary btn-next-step">Continue »</a>
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<a href="javascript:self.showCalendar('2022-02-11', %7B%22nextprev%22%3A%7B%222022-02-11%22%3A%222022-01-11%22%7D%7D)" class="calendar-next"><span>More Times</span> <i class="fa fa-chevron-right"></i></a>
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<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642529400" for="appt1642529400" aria-label="1:10pm" aria-checked="false">1:10pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-39" data-readable-date="2022-01-18" value="2022-01-18 13:15" id="appt1642529700" aria-labelledby="lbl_appt1642529700">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642529700" for="appt1642529700" aria-label="1:15pm" aria-checked="false">1:15pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-40" data-readable-date="2022-01-18" value="2022-01-18 13:20" id="appt1642530000" aria-labelledby="lbl_appt1642530000">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642530000" for="appt1642530000" aria-label="1:20pm" aria-checked="false">1:20pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-41" data-readable-date="2022-01-18" value="2022-01-18 13:25" id="appt1642530300" aria-labelledby="lbl_appt1642530300">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642530300" for="appt1642530300" aria-label="1:25pm" aria-checked="false">1:25pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-42" data-readable-date="2022-01-18" value="2022-01-18 13:30" id="appt1642530600" aria-labelledby="lbl_appt1642530600">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642530600" for="appt1642530600" aria-label="1:30pm" aria-checked="false">1:30pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-43" data-readable-date="2022-01-18" value="2022-01-18 13:35" id="appt1642530900" aria-labelledby="lbl_appt1642530900">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642530900" for="appt1642530900" aria-label="1:35pm" aria-checked="false">1:35pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-44" data-readable-date="2022-01-18" value="2022-01-18 13:40" id="appt1642531200" aria-labelledby="lbl_appt1642531200">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642531200" for="appt1642531200" aria-label="1:40pm" aria-checked="false">1:40pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-45" data-readable-date="2022-01-18" value="2022-01-18 13:45" id="appt1642531500" aria-labelledby="lbl_appt1642531500">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642531500" for="appt1642531500" aria-label="1:45pm" aria-checked="false">1:45pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-46" data-readable-date="2022-01-18" value="2022-01-18 13:50" id="appt1642531800" aria-labelledby="lbl_appt1642531800">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642531800" for="appt1642531800" aria-label="1:50pm" aria-checked="false">1:50pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-47" data-readable-date="2022-01-18" value="2022-01-18 13:55" id="appt1642532100" aria-labelledby="lbl_appt1642532100">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642532100" for="appt1642532100" aria-label="1:55pm" aria-checked="false">1:55pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-48" data-readable-date="2022-01-18" value="2022-01-18 14:00" id="appt1642532400" aria-labelledby="lbl_appt1642532400">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642532400" for="appt1642532400" aria-label="2:00pm" aria-checked="false">2:00pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-49" data-readable-date="2022-01-18" value="2022-01-18 14:05" id="appt1642532700" aria-labelledby="lbl_appt1642532700">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642532700" for="appt1642532700" aria-label="2:05pm" aria-checked="false">2:05pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-50" data-readable-date="2022-01-18" value="2022-01-18 14:10" id="appt1642533000" aria-labelledby="lbl_appt1642533000">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642533000" for="appt1642533000" aria-label="2:10pm" aria-checked="false">2:10pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-51" data-readable-date="2022-01-18" value="2022-01-18 14:15" id="appt1642533300" aria-labelledby="lbl_appt1642533300">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642533300" for="appt1642533300" aria-label="2:15pm" aria-checked="false">2:15pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-52" data-readable-date="2022-01-18" value="2022-01-18 14:20" id="appt1642533600" aria-labelledby="lbl_appt1642533600">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642533600" for="appt1642533600" aria-label="2:20pm" aria-checked="false">2:20pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-53" data-readable-date="2022-01-18" value="2022-01-18 14:25" id="appt1642533900" aria-labelledby="lbl_appt1642533900">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642533900" for="appt1642533900" aria-label="2:25pm" aria-checked="false">2:25pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-54" data-readable-date="2022-01-18" value="2022-01-18 14:30" id="appt1642534200" aria-labelledby="lbl_appt1642534200">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642534200" for="appt1642534200" aria-label="2:30pm" aria-checked="false">2:30pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-55" data-readable-date="2022-01-18" value="2022-01-18 14:35" id="appt1642534500" aria-labelledby="lbl_appt1642534500">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642534500" for="appt1642534500" aria-label="2:35pm" aria-checked="false">2:35pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-56" data-readable-date="2022-01-18" value="2022-01-18 14:40" id="appt1642534800" aria-labelledby="lbl_appt1642534800">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642534800" for="appt1642534800" aria-label="2:40pm" aria-checked="false">2:40pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-57" data-readable-date="2022-01-18" value="2022-01-18 14:45" id="appt1642535100" aria-labelledby="lbl_appt1642535100">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642535100" for="appt1642535100" aria-label="2:45pm" aria-checked="false">2:45pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-58" data-readable-date="2022-01-18" value="2022-01-18 14:50" id="appt1642535400" aria-labelledby="lbl_appt1642535400">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642535400" for="appt1642535400" aria-label="2:50pm" aria-checked="false">2:50pm</label>
<br>
<input type="radio" class="time-selection" name="time[]" data-qa="select-day-18-slot-59" data-readable-date="2022-01-18" value="2022-01-18 14:55" id="appt1642535700" aria-labelledby="lbl_appt1642535700">
<label role="radio" data-qa="select_appt" tabindex="0" id="lbl_appt1642535700" for="appt1642535700" aria-label="2:55pm" aria-checked="false">2:55pm</label>
<br>
</div>
<a href="#calendar-top" class="more-times-available">
<i class="fa fa-angle-up"></i><br>Earlier Times<br>Available
</a>
</div>
</fieldset>
</div>
<div class="choose-time-actions" style="display:none">
<ul>
<li>
<a href="#" class="btn btn-primary btn-block btn-next-step" data-qa="continue-button">Continue »</a>
</li>
<li>
<a href="#selectedTimes" class="btn btn-default btn-block btn-additional" data-qa="additional-time-button">Add a Time...</a>
</li>
<li>
<a href="#" class="btn btn-default btn-block btn-recurring" data-qa="recurring-time-button">Recurring...</a>
</li>
</ul>
</div>
<div class="clearfix"></div>
</div>
</div>
<div class="pane-collapsed" style="display:none">
<a href="#" class="change-pick-appointment" aria-expanded="true" aria-label="Change Appointment Type or Time"><i class="fa fa-chevron-down"></i></a>
<div class="pane appt-summary-pane">
<div id="forms-appt-summary" class="babel-ignore"></div>
</div>
</div>
</div>
<div class="step-pane" id="step-forms-pane" data-step="forms">
<h2 class="step-title">
<span class="step-number">2</span> Your Information
</h2>
<div class="pane-content" data-qa="step-your-info" id="step-forms" style="display:none">
<div class="form-group required-field is-focused">
<label for="first-name" class="control-label hide-if-no-placeholder">Name <span class="error">*</span> <span class="show-on-error">(required)</span></label>
<div>
<span class="hide-if-placeholder">First Name <span class="error">*</span></span>
<input type="text" class="form-control" name="firstName" id="first-name" value="" placeholder="First Name" autocomplete="given-name" data-qa="first-name-input">
<span class="hide-if-placeholder">Last Name <span class="error">*</span></span>
<input type="text" class="form-control" name="lastName" id="last-name" value="" placeholder="Last Name" autocomplete="family-name" data-qa="last-name-input">
</div>
</div>
<div class="form-group required-field">
<label for="phone" class="control-label">Phone <span class="error">*</span> <span class="show-on-error">(required)</span></label>
<input type="text" class="form-control" name="phone" id="phone" value="" autocomplete="tel" data-qa="phone-input">
</div>
<div class="form-group required-field">
<label for="email" class="control-label">Email <span class="error">*</span> <span class="show-on-error">(required)</span></label>
<input type="email" class="form-control" name="email" id="email" value="" autocorrect="off" autocomplete="email" data-qa="email-input">
<div class="help-block" id="email-error-help" style="display:none">Your email address is invalid<span id="email-error-domain">. Did you type the domain correctly?</span></div>
</div>
<div class="pane" id="custom-forms"></div>
</div>
<div class="pane-collapsed" style="display:none">
</div>
</div>
</form>Text Content
Javascript must be enabled to use this. Learn how to enable Javascript ×Close LOADING... Returning? Log in Welcome please read all instructions carefully Town of Marshfield Community COVID-19 Testing Marshfield Residents ONLY Location: Marshfield Fairgrounds 61 South River Street GATE “E” This testing is free of charge for residents of the Town of Marshfield NOT EVERYONE NEEDS TO BE TESTED. If you do get tested, you should self-quarantine/isolate at home pending test results and follow the advice of your health care provider or a public health professional. PROOF OF RESIDENCY WILL BE REQUIRED AT THE TIME OF TESTING. Limited time slots will be available on testing days. Please select a time slot from the list below. Please arrive at your scheduled time as this will ensure manageable traffic flow. Testing will be done by drive-up; you will remain in your vehicle for the entire process unless otherwise directed by a staff member. Please follow the designated traffic pattern. Results are made available within 24-36 hours. Results are provided by Care Evolve via the email address you provide or by a member of the Marshfield Board Of Health Department . DO NOT CALL THE MARSHFIELD FIRE DEPARTMENT OR BROAD INSTITUTE FOR TEST RESULTS. PLEASE ENSURE ALL DEMOGRAPHIC INFORMATION ENTERED IS ACCURATE. DO NOT ADD a "1" in front of your phone number NO appointments can be scheduled after 7am on same day of testing 1 CHOOSE APPOINTMENT Quantity: Marshfield Only PCR Test 5 minutes With... Continue » Continue » More Times Next Week Tuesday January 18 10:00am 10:05am 10:10am 10:15am 10:20am 10:25am 10:30am 10:35am 10:40am 10:45am 10:50am 10:55am 11:00am 11:05am 11:10am 11:15am 11:20am 11:25am 11:30am 11:35am 11:40am 11:45am 11:50am 11:55am 12:00pm 12:05pm 12:10pm 12:15pm 12:20pm 12:25pm 12:30pm 12:35pm 12:40pm 12:45pm 12:50pm 12:55pm 1:00pm 1:05pm 1:10pm 1:15pm 1:20pm 1:25pm 1:30pm 1:35pm 1:40pm 1:45pm 1:50pm 1:55pm 2:00pm 2:05pm 2:10pm 2:15pm 2:20pm 2:25pm 2:30pm 2:35pm 2:40pm 2:45pm 2:50pm 2:55pm Earlier Times Available * Continue » * Add a Time... * Recurring... 2 YOUR INFORMATION Name * (required) First Name * Last Name * Phone * (required) Email * (required) Your email address is invalid. Did you type the domain correctly? 3 CONFIRMATION Powered By