sainthealthllc.site Open in urlscan Pro
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Form analysis
2 forms found in the DOM

POST /create-contact.php

<form id="contact-form" class="contact__form" method="post" action="/create-contact.php">
  <div class="row">
    <div class="col-sm-6 py-2">
      <label for="name" class="fg-grey">Full name</label>
      <input type="text" id="name" name="name" class="form-control" placeholder="Full name">
    </div>
    <div class="col-sm-6 py-2">
      <label for="email" class="fg-grey">Email address</label>
      <input type="email" id="email" name="email" class="form-control" placeholder="Email address">
    </div>
    <div class="col-sm-6 py-2">
      <label for="dob" class="fg-grey">Your Date of Birth</label>
      <input type="text" id="dob" name="dob" class="form-control" placeholder="Your Date of Birth">
    </div>
    <div class="col-sm-6 py-2">
      <label for="phone" class="fg-grey">Phone number</label>
      <input type="text" id="phone" name="phone_number" class="form-control" placeholder="Phone number">
    </div>
    <div class="col-sm-6 py-2">
      <label for="state" class="fg-grey">Your State</label>
      <input type="text" id="state" name="state" class="form-control" placeholder="Your State">
    </div>
    <div class="col-sm-6 py-2">
      <label for="city" class="fg-grey">Your City</label>
      <input type="text" id="city" name="city" class="form-control" placeholder="Your City">
    </div>
    <div class="col-12 py-2">
      <label for="message" class="fg-grey">Your street</label>
      <textarea id="street" name="street" class="form-control" rows="5" placeholder="Your street"></textarea>
    </div>
    <div class="ml-3">
      <input type="checkbox" name="agreement" value="1"> I agree , By submitting my cell phone number to receive automated sms/mms messages with more information or quote from SAINTHEALTHLLC. Message frequency may vary. Reply STOP to cancel, Reply
      HELP for contact information. message and date rates may apply <a href="terms-conditions.html">Terms &amp; Conditions</a> | <a href="privacy-policy.html">Privacy Policy</a>
    </div>
    <div class="col-12 mt-3">
      <button type="submit" class="btn btn-primary px-5">Submit</button>
    </div>
  </div>
</form>

POST /opt-contact.php

<form method="POST" action="/opt-contact.php">
  <div class="modal-body"><input type="text" class="form-control" placeholder="Phone" name="ph" required="">
  </div>
  <div class="modal-footer">
    <button type="button" class="btn btn-secondary closeModalButton">Close</button>
    <button type="submit" class="btn btn-primary">Submit</button>
  </div>
</form>

Text Content

mosainthealth@gmail.com

tel:+19546675532
SAINTHEALTHLLC
 * Home
 * Terms Conditions
 * Privacy Policy


SAINTHEALTHLLC


SAINTHEALTHLLC


SAINTHEALTHLLC


SAINTHEALTHLLC


SAINTHEALTHLLC





MOHAB SAINTELUS

I'm a licensed health plan agent that accesses all the newest and up to date
health coverage options to find the best option that meets the needs and budget
requirements of families and individuals I provide quality assistance to.




HOW WE HELP YOU

COMPREHENSIVE HEALTH COVERAGE OPTIONS

Let us help you navigate through all the latest health coverage options to find
the best plan for your family's or individual's needs and budget.

PERSONALIZED HEALTH PLAN ASSESSMENT

Our licensed agents will provide tailored assistance in finding the perfect
health plan that meets your specific requirements and budget.

EXPERT GUIDANCE FOR INSURANCE SELECTION

With our extensive knowledge and experience, we'll guide you towards selecting
the right insurance plan from a variety of options available in the market.


WE'RE HERE TO HELP

Full name
Email address
Your Date of Birth
Phone number
Your State
Your City
Your street
I agree , By submitting my cell phone number to receive automated sms/mms
messages with more information or quote from SAINTHEALTHLLC. Message frequency
may vary. Reply STOP to cancel, Reply HELP for contact information. message and
date rates may apply Terms & Conditions | Privacy Policy
Submit


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