patient.labcorp.com
Open in
urlscan Pro
18.155.1.31
Public Scan
Submitted URL: https://click.labcorpmessage.com/?qs=066323fb6389fa7bc522f37015d0522b30798ec4e4972a8476e815eda02583d32d5419cf76658580a89204f388ef...
Effective URL: https://patient.labcorp.com/account/registration/register/Inactive_Results
Submission: On October 03 via manual from US — Scanned from DE
Effective URL: https://patient.labcorp.com/account/registration/register/Inactive_Results
Submission: On October 03 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form _ngcontent-uum-c123="" novalidate="" class="ng-untouched ng-pristine ng-invalid"><br _ngcontent-uum-c123="">
<h3 _ngcontent-uum-c123="" class="text-secondary">About You</h3>
<div _ngcontent-uum-c123="" class="row">
<p _ngcontent-uum-c123="" class="col-lg-8"> Your privacy is very important to us. To ensure the security of your information, your Labcorp Patient account should be created with the same name that appears on your driver's license or another
government-issued ID. </p>
</div>
<div _ngcontent-uum-c123="" class="row">
<div _ngcontent-uum-c123="" class="form-group col-sm-4 col-lg-3"><label _ngcontent-uum-c123="" for="firstName">First Name</label><input _ngcontent-uum-c123="" type="text" maxlength="25" formcontrolname="firstName" id="firstName"
class="form-control ng-untouched ng-pristine ng-invalid"><ui-form-field-msg _ngcontent-uum-c123="" id="firstNameError" controlname="firstName" _nghost-uum-c101=""><small _ngcontent-uum-c101=""
class="form-text invalid-feedback d-none"><i _ngcontent-uum-c101="" class="material-icons icon-sm">error_outline</i><span _ngcontent-uum-c101="" class="align-self-center pl-1">This is a required field.</span></small></ui-form-field-msg>
</div>
<div _ngcontent-uum-c123="" class="form-group col-sm-3 col-lg-2"><label _ngcontent-uum-c123="" for="middleName">MI (Optional)</label><input _ngcontent-uum-c123="" type="text" maxlength="1" formcontrolname="middleName" id="middleName"
class="form-control ng-untouched ng-pristine ng-valid"><ui-form-field-msg _ngcontent-uum-c123="" id="middleNameError" controlname="middleName" _nghost-uum-c101=""><small _ngcontent-uum-c101=""
class="form-text invalid-feedback d-none"><i _ngcontent-uum-c101="" class="material-icons icon-sm">error_outline</i><span _ngcontent-uum-c101="" class="align-self-center pl-1"></span></small></ui-form-field-msg></div>
<div _ngcontent-uum-c123="" class="form-group col-sm-4 col-lg-3"><label _ngcontent-uum-c123="" for="lastName">Last Name</label><input _ngcontent-uum-c123="" type="text" maxlength="30" formcontrolname="lastName" id="lastName"
class="form-control ng-untouched ng-pristine ng-invalid"><ui-form-field-msg _ngcontent-uum-c123="" id="lastNameError" controlname="lastName" _nghost-uum-c101=""><small _ngcontent-uum-c101=""
class="form-text invalid-feedback d-none"><i _ngcontent-uum-c101="" class="material-icons icon-sm">error_outline</i><span _ngcontent-uum-c101="" class="align-self-center pl-1">This is a required field.</span></small></ui-form-field-msg>
</div>
</div><label _ngcontent-uum-c123="">Sex</label>
<div _ngcontent-uum-c123="" class="col-sm-2 col-lg-2 custom-control custom-radio"><input _ngcontent-uum-c123="" type="radio" id="male" name="gender" formcontrolname="gender" value="MALE"
class="custom-control-input ng-untouched ng-pristine ng-invalid"><label _ngcontent-uum-c123="" for="male" class="custom-control-label text-body">Male</label></div>
<div _ngcontent-uum-c123="" class="col-sm-2 col-lg-2 custom-control custom-radio"><input _ngcontent-uum-c123="" type="radio" id="female" name="gender" formcontrolname="gender" value="FEMALE"
class="custom-control-input ng-untouched ng-pristine ng-invalid"><label _ngcontent-uum-c123="" for="female" class="custom-control-label text-body">Female</label></div>
<div _ngcontent-uum-c123="" class="col-sm-4 col-lg-2 custom-control custom-radio"><input _ngcontent-uum-c123="" type="radio" id="other" name="gender" formcontrolname="gender" value="UNKNOWN"
class="custom-control-input ng-untouched ng-pristine ng-invalid"><label _ngcontent-uum-c123="" for="other" class="custom-control-label text-body">I'd rather not say</label></div><ui-form-field-msg _ngcontent-uum-c123="" id="genderError"
controlname="gender" _nghost-uum-c101=""><small _ngcontent-uum-c101="" class="form-text invalid-feedback d-none"><i _ngcontent-uum-c101="" class="material-icons icon-sm">error_outline</i><span _ngcontent-uum-c101=""
class="align-self-center pl-1">This is a required field.</span></small></ui-form-field-msg><br _ngcontent-uum-c123="">
<div _ngcontent-uum-c123="" formgroupname="dobs" class="row form-group ng-untouched ng-pristine ng-invalid">
<div _ngcontent-uum-c123="" class="form-group col-md-4"><label _ngcontent-uum-c123="" for="dateOfBirth">Date of Birth</label><input _ngcontent-uum-c123="" 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-uum-c123="" id="dobError" controlname="dateOfBirth" _nghost-uum-c101=""><small _ngcontent-uum-c101=""
class="form-text invalid-feedback d-none"><i _ngcontent-uum-c101="" class="material-icons icon-sm">error_outline</i><span _ngcontent-uum-c101="" class="align-self-center pl-1">This is a required field.</span></small></ui-form-field-msg>
</div>
<div _ngcontent-uum-c123="" class="form-group col-md-4"><label _ngcontent-uum-c123="" for="confirmDateOfBirth">Confirm Date of Birth</label><input _ngcontent-uum-c123="" 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-uum-c123="" id="confirmdobError" controlname="confirmDateOfBirth" _nghost-uum-c101=""><small
_ngcontent-uum-c101="" class="form-text invalid-feedback d-none"><i _ngcontent-uum-c101="" class="material-icons icon-sm">error_outline</i><span _ngcontent-uum-c101="" class="align-self-center pl-1">This is a required
field.</span></small></ui-form-field-msg></div>
</div><br _ngcontent-uum-c123="">
<h3 _ngcontent-uum-c123="" class="text-secondary">Address and Phone</h3>
<div _ngcontent-uum-c123="" formgroupname="address" class="form-group ng-untouched ng-pristine ng-invalid">
<div _ngcontent-uum-c123="" class="row">
<div _ngcontent-uum-c123="" class="form-group col-lg-4 col-md-6"><label _ngcontent-uum-c123="" for="streetLine1">Street, PO Box</label><input _ngcontent-uum-c123="" type="text" formcontrolname="street" id="streetLine1" maxlength="50"
class="form-control ng-untouched ng-pristine ng-invalid"><!----><ui-form-field-msg _ngcontent-uum-c123="" id="streetLine1Error" controlname="street" _nghost-uum-c101=""><small _ngcontent-uum-c101=""
class="form-text invalid-feedback d-none"><i _ngcontent-uum-c101="" class="material-icons icon-sm">error_outline</i><span _ngcontent-uum-c101="" class="align-self-center pl-1">This is a required field.</span></small></ui-form-field-msg>
</div>
<div _ngcontent-uum-c123="" class="form-group col-lg-4 col-md-6"><label _ngcontent-uum-c123="" for="aptSuiteFloor">Apartment, Suite, Floor (Optional)</label><input _ngcontent-uum-c123="" type="text" formcontrolname="aptSuiteFloor"
id="aptSuiteFloor" maxlength="50" class="form-control ng-untouched ng-pristine ng-valid"></div>
</div>
<div _ngcontent-uum-c123="" class="row">
<div _ngcontent-uum-c123="" class="form-group col-md-3"><label _ngcontent-uum-c123="" for="city">City</label><input _ngcontent-uum-c123="" type="text" formcontrolname="city" id="city" minlength="3" maxlength="50"
class="form-control ng-untouched ng-pristine ng-invalid"><ui-form-field-msg _ngcontent-uum-c123="" id="cityError" controlname="city" _nghost-uum-c101=""><small _ngcontent-uum-c101=""
class="form-text invalid-feedback d-none"><i _ngcontent-uum-c101="" class="material-icons icon-sm">error_outline</i><span _ngcontent-uum-c101="" class="align-self-center pl-1">This is a required field.</span></small></ui-form-field-msg>
</div>
<div _ngcontent-uum-c123="" class="col-lg-3 col-md-4 col-sm-6 form-group"><ui-select _ngcontent-uum-c123="" controlname="state" domid="registrationState" label="State" placeholder="Select" _nghost-uum-c102="" class="form-group d-block"><label
_ngcontent-uum-c102="" for="registrationState">State</label><ng-select _ngcontent-uum-c102="" 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="ac95f82bb169" 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-uum-c123="" id="stateError" controlname="state" _nghost-uum-c101=""><small _ngcontent-uum-c101=""
class="form-text invalid-feedback d-none"><i _ngcontent-uum-c101="" class="material-icons icon-sm">error_outline</i><span _ngcontent-uum-c101="" class="align-self-center pl-1">This is a required field.</span></small></ui-form-field-msg>
</div>
<div _ngcontent-uum-c123="" class="col-md-2"><label _ngcontent-uum-c123="" for="zipCode">ZIP Code</label><input _ngcontent-uum-c123="" 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-uum-c123="" id="zipCodeError" controlname="zipCode"
_nghost-uum-c101=""><small _ngcontent-uum-c101="" class="form-text invalid-feedback d-none"><i _ngcontent-uum-c101="" class="material-icons icon-sm">error_outline</i><span _ngcontent-uum-c101="" class="align-self-center pl-1">This is a
required field.</span></small></ui-form-field-msg></div>
</div>
</div>
<div _ngcontent-uum-c123="" formgroupname="phone" class="form-group ng-untouched ng-pristine ng-invalid">
<div _ngcontent-uum-c123="" class="row">
<div _ngcontent-uum-c123="" class="form-group col-lg-2 col-md-3"><label _ngcontent-uum-c123="" for="number">Phone Number</label><input _ngcontent-uum-c123="" type="tel" formcontrolname="number" id="number" matinput="" mask="000-000-0000"
class="form-control ng-untouched ng-pristine ng-invalid"><!----></div>
<div _ngcontent-uum-c123="" class="form-group col-lg-2 col-md-3"><ui-select _ngcontent-uum-c123="" controlname="type" domid="registrationPhoneType" label="Type" placeholder="Select" _nghost-uum-c102="" class="form-group d-block"><label
_ngcontent-uum-c102="" for="registrationPhoneType">Type</label><ng-select _ngcontent-uum-c102="" 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="a8af03574e09" 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-uum-c123="" id="phoneTypeError" controlname="type" _nghost-uum-c101=""><small _ngcontent-uum-c101=""
class="form-text invalid-feedback d-none"><i _ngcontent-uum-c101="" class="material-icons icon-sm">error_outline</i><span _ngcontent-uum-c101="" class="align-self-center pl-1"></span></small></ui-form-field-msg></div>
</div>
</div><br _ngcontent-uum-c123="">
<h3 _ngcontent-uum-c123="" class="text-secondary">Login and Identity Verification</h3>
<div _ngcontent-uum-c123="" formgroupname="email" class="form-group ng-untouched ng-pristine ng-invalid">
<div _ngcontent-uum-c123="" class="row">
<div _ngcontent-uum-c123="" class="form-group col-md-5 col-lg-4"><label _ngcontent-uum-c123="" for="emailAddress">Email Address - <em _ngcontent-uum-c123="">this will be your "User ID"</em></label><input _ngcontent-uum-c123="" 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-uum-c123="" id="emailAddressError"
controlname="emailAddress" _nghost-uum-c101=""><small _ngcontent-uum-c101="" class="form-text invalid-feedback d-none"><i _ngcontent-uum-c101="" class="material-icons icon-sm">error_outline</i><span _ngcontent-uum-c101=""
class="align-self-center pl-1">This is a required field.</span></small></ui-form-field-msg></div>
<div _ngcontent-uum-c123="" class="col-md-5 col-lg-4"><label _ngcontent-uum-c123="" for="confirmEmailAddress">Confirm Email Address</label><input _ngcontent-uum-c123="" 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-uum-c123="" id="confirmEmailAddressError" controlname="confirmEmailAddress" _nghost-uum-c101=""><small
_ngcontent-uum-c101="" class="form-text invalid-feedback d-none"><i _ngcontent-uum-c101="" class="material-icons icon-sm">error_outline</i><span _ngcontent-uum-c101="" class="align-self-center pl-1">This is a required
field.</span></small></ui-form-field-msg></div>
</div>
</div>
<div _ngcontent-uum-c123="" formgroupname="passWord" class="form-group ng-untouched ng-pristine ng-invalid">
<div _ngcontent-uum-c123="" class="row">
<div _ngcontent-uum-c123="" class="form-group col-md-4 col-lg-3"><label _ngcontent-uum-c123="" for="password">Password</label>
<div _ngcontent-uum-c123="" class="inner-addon right-addon">
<div _ngcontent-uum-c123="" style="cursor: pointer;"><i _ngcontent-uum-c123="" class="glyphicon material-icons">visibility_off</i></div><input _ngcontent-uum-c123="" formcontrolname="password" id="password" placement="auto" triggers="focus"
class="form-control ng-untouched ng-pristine ng-invalid" type="password"><!---->
</div><!----><ui-form-field-msg _ngcontent-uum-c123="" id="passwordError" controlname="password" _nghost-uum-c101=""><small _ngcontent-uum-c101=""
class="form-text invalid-feedback d-none"><i _ngcontent-uum-c101="" class="material-icons icon-sm">error_outline</i><span _ngcontent-uum-c101="" class="align-self-center pl-1">This is a required
field.</span></small></ui-form-field-msg><!----><!---->
</div>
<div _ngcontent-uum-c123="" class="form-group col-md-4 col-lg-3"><label _ngcontent-uum-c123="" for="confirmPassword">Confirm Password</label>
<div _ngcontent-uum-c123="" class="inner-addon right-addon">
<div _ngcontent-uum-c123="" style="cursor: pointer;"><i _ngcontent-uum-c123="" class="glyphicon material-icons">visibility_off</i></div><input _ngcontent-uum-c123="" formcontrolname="confirmPassword" id="confirmPassword"
class="form-control ng-untouched ng-pristine ng-invalid" type="password">
</div><!----><ui-form-field-msg _ngcontent-uum-c123="" id="confirmPasswordError" controlname="confirmPassword" _nghost-uum-c101=""><small _ngcontent-uum-c101=""
class="form-text invalid-feedback d-none"><i _ngcontent-uum-c101="" class="material-icons icon-sm">error_outline</i><span _ngcontent-uum-c101="" class="align-self-center pl-1">This is a required field.</span></small></ui-form-field-msg>
</div>
</div>
</div><br _ngcontent-uum-c123="">
<h3 _ngcontent-uum-c123="" class="text-secondary">Authorization</h3>
<div _ngcontent-uum-c123="" class="custom-control custom-checkbox"><input _ngcontent-uum-c123="" type="checkbox" formcontrolname="terms" id="terms" class="custom-control-input ng-untouched ng-pristine ng-invalid"><label _ngcontent-uum-c123=""
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-uum-c123="" routerlink="/user-agreement" target="_blank" href="/user-agreement"><u _ngcontent-uum-c123="">Patient Portal User Agreement</u></a> and
<a _ngcontent-uum-c123="" href="https://www.labcorp.com/hipaa-privacy" target="_blank"><u _ngcontent-uum-c123="">Web Privacy Statement</u></a>. </label><!----></div><br _ngcontent-uum-c123="">
<div _ngcontent-uum-c123=""><re-captcha _ngcontent-uum-c123="" formcontrolname="captcha" required="" id="ngrecaptcha-0" class="ng-untouched ng-pristine ng-invalid">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-7q9w0b72l72k" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Lc9dxsUAAAAAKQpkg-tisWDQ97sflC8EgyqE1L4&co=aHR0cHM6Ly9wYXRpZW50LmxhYmNvcnAuY29tOjQ0Mw..&hl=de&v=lLirU0na9roYU3wDDisGJEVT&size=normal&cb=i8e1zq39g4i0"></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-uum-c123="">
<div _ngcontent-uum-c123=""><ui-button _ngcontent-uum-c123="" _nghost-uum-c97=""><button _ngcontent-uum-c97="" class="btn btn-primary mb-3" type="submit" style="min-width: 0px;"><!----><!----><span _ngcontent-uum-c97="">Create an
Account</span></button><!----><!----><!----><!----></ui-button></div>
</form>Text Content
NEW REGISTRATION ABOUT YOU Your privacy is very important to us. To ensure the security of your information, your Labcorp Patient account should be created with the same name that appears on your driver's license or another government-issued ID. First Nameerror_outlineThis is a required field. MI (Optional)error_outline Last Nameerror_outlineThis is a required field. Sex 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 Patient Portal User Agreement 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™ © 2023 Laboratory Corporation of America® Holdings. All Rights Reserved. Visit labcorp.com | Privacy Statement COOKIE NOTICE We use cookies to enable certain functions and tools on this website, track resources and data used on this website, and promote our products and services. We also share information about your use of our website with our analytics partners. If you select "Reject Cookies," essential cookies will remain active. For more information on our use of cookies, please see ourWebsite Privacy Policy. By accessing or using the Labcorp website or other Labcorp online applications, you acknowledge that you understand and agree to be bound by theTerms and Conditions. Cookies Settings Reject Cookies Accept All Cookies Your Opt Out Preference Signal is Honored PRIVACY PREFERENCE CENTER When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. This information might be about you, your preferences or your device and is mostly used to make the site work as you expect it to. 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They may be used by those companies to build a profile of your interests and show you relevant adverts on other sites. They do not store directly personal information, but are based on uniquely identifying your browser and internet device. If you do not allow these cookies, you will experience less targeted advertising. Cookies Details ANALYTIC COOKIES Analytic Cookies These cookies allow us to count visits and traffic sources, so we can measure and improve the performance of our site. They help us know which pages are the most and least popular and see how visitors move around the site. All information these cookies collect is aggregated and therefore anonymous. If you do not allow these cookies, we will not know when you have visited our site. Cookies Details Back Button COOKIE LIST Search Icon Filter Icon Clear checkbox label label Apply Cancel Consent Leg.Interest checkbox label label checkbox label label checkbox label label Reject All Non-Essential Cookies Confirm My Choices