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Submitted URL: http://medbridgego.com/
Effective URL: https://www.medbridgego.com/access_token
Submission Tags: tranco_l324
Submission: On April 25 via api from DE — Scanned from DE

Form analysis 1 forms found in the DOM

POST /register_token

<form method="POST" action="/register_token" id="program-access-token" class="ptm" novalidate="novalidate">
  <div class="form-group ">
    <input name="X-CSRF-Token" type="hidden" value="843ce3be1da32ecb942b42b612a0ef40"> <label for="access_token" class="control-label ">Access Code</label>
    <input aria-label="Access Code" id="access-code-input" type="text" class="form-control " value="" name="token" placeholder="Example &quot;LVB4KATY&quot;">
  </div>
  <div class="form-group ">
    <input type="submit" name="verify_access_code" class="verify-access-code-button btn btn-primary text-uppercase remove-chrome-highlight-border-radius" value="Verify Access Code">
    <div id="sign-in-link"> Already have an account? <span class="secondary-form-action">
        <a href="/sign_in?set_sign_in=true">Sign in                    </a>
      </span></div>
    <span style="margin-top:10px !important; font-size:0.9em; color:#434343; display:block">
      <p>Access MedBridge with a MyChart login? Sign in to your provider's MyChart portal and use the MedBridge button provided there or enter your access code here.</p>
    </span>
  </div>
</form>

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Get started by verifying your access code, which you can find in the email,
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Access Code
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Access MedBridge with a MyChart login? Sign in to your provider's MyChart portal
and use the MedBridge button provided there or enter your access code here.

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