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Submitted URL: https://www.mygenesight.com/Order/ViewReport/?orderId=0b6bae93-2c93-4333-8a6a-053e24501a32
Effective URL: https://www.mygenesight.com/Account/LogOn?ReturnUrl=%2fOrder%2fViewReport%2f%3forderId%3d0b6bae93-2c93-4333-8a6a-053e24501a3...
Submission Tags: falconsandbox
Submission: On April 25 via api from US — Scanned from DE

Form analysis 2 forms found in the DOM

POST /Account/Logon

<form action="/Account/Logon" method="post" onsubmit="ARX.Common.DisableFormButtonOnSubmit(this, 'false', 'true')" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden"
    value="a5f_G1h_KJtmNNsZH7upYQsqmP7Qzu0qg8mcHy8kkniBmZ3SlhFnD5Stg3VzO68e3H_ewotS6W4w9cbWjI4MSw8zPNEMx4JUXXaGt0dqByw1">
  <div class="sign-in-input-container">
    <h2 class="sign-in-header">Sign in </h2>
    <div class="sign-in-validation-summary-container">
    </div>
    <div id="LogonUserName">
      <label class="sign-in-input-label" for="UserName">Email</label>
      <input class="sign-in-textbox" data-val="true" data-val-required="The email field is required." id="UserName" name="UserName" type="text" value="">
      <span class="field-validation-valid" data-valmsg-for="UserName" data-valmsg-replace="true"></span>
    </div>
    <br>
    <div id="LogonPassword">
      <label class="sign-in-input-label" for="Password">Password</label>
      <input class="sign-in-textbox" data-val="true" data-val-required="The password field is required." id="Password" name="Password" onfocus="this.select()" type="password">
      <span class="field-validation-valid" data-valmsg-for="Password" data-valmsg-replace="true"></span>
    </div>
    <div style="width: 70%; float: left;">
      <input data-val="true" data-val-required="The Remember me field is required." id="RememberMe" name="RememberMe" type="checkbox" value="true"><input name="RememberMe" type="hidden" value="false">
      <label for="RememberMe">Remember me</label>
    </div>
    <div style="clear: both"></div>
    <div class="sign-in-button-container">
      <a onclick="ARX.SignIn.ForgotPassword('/Account/_RecoverPasswordPartial');" class="sign-in-forgot-password-link" href="#">Forgot password?</a>
      <div style="float: right;">
        <input type="submit" onclick="TrimUser()" value="Sign in" class="primary-button sign-in-button">
      </div>
    </div>
  </div>
</form>

POST /Account/_RecoverPasswordPartial?Length=7

<form action="/Account/_RecoverPasswordPartial?Length=7" data-ajax="true" data-ajax-mode="replace" data-ajax-update="#recoverPassword" id="recoverPasswordForm" method="post" novalidate="novalidate"><input name="__RequestVerificationToken"
    type="hidden" value="_xzkh4L4iFkNzFsj3AgUL4VmQpb4eAQ474NMImvxpEgl3hLH9nYiUgxDE7b1XS0uTjVtNs8ICtA9KS8MMjDFL3WfquVSe8YFF7D3MjQErI01">
  <p> Please enter your email address below. If you are not sure which email to specify, please call Customer Service at 866.757.9204 or email <a href="mailto:support@genesight.com">support@genesight.com</a>. </p>
  <div class="FormLine">
    <label class="forgot-password-input-label" for="RecoverPasswordUser">Email</label>
    <div id="RecoverUsernameField">
      <input class="forgot-password-textbox" id="RecoverPasswordUser" name="RecoverPasswordUser" type="text" value="">
    </div>
    <div style="clear:both"></div>
  </div>
</form>

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Monday-Friday: 8am - 8pm Eastern
Tel:
866.757.9204
Fax:
888.894.4344
Email:
support@genesight.com
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Hours:
Monday-Friday: 8am - 6pm Eastern
Tel:
855.891.9415
Email:
medinfo@genesight.com
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specify, please call Customer Service at 866.757.9204 or email
support@genesight.com.

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