usaacceptance.fieldprint.com Open in urlscan Pro
104.18.39.98  Public Scan

Form analysis
2 forms found in the DOM

Name: formCheckEmail — POST /User/CheckEmail_Process

<form id="formCheckEmail" name="formCheckEmail" action="/User/CheckEmail_Process" method="post">
  <input type="hidden" name="PTSignUp" value="867ea43d-7ac8-4396-b6c1-04ba9f6350a5">
  <label for="NewEmail" class="heading required" id="newUserEmailLabel"> Email address: </label>
  <input type="text" aria-required="true" class="textLarge" id="NewEmail" name="NewEMail" maxlength="255" autocomplete="off" accesskey="n" value="">
  <div class="button-wrapper">
    <a class="button" role="button" href="#"><span>Sign Up</span></a>
  </div>
  <input type="hidden" id="attm" name="attm" value="0">
</form>

Name: formSignin — POST /User/Authenticate

<form id="formSignin" name="formSignin" action="/User/Authenticate" method="post">
  <input type="hidden" name="PTSignIn" value="867ea43d-7ac8-4396-b6c1-04ba9f6350a5">
  <label for="Email" class="heading required" id="exUserEmailLabel"> Email address: </label>
  <input type="text" aria-required="true" class="textLarge" id="Email" name="Email" maxlength="255" autocomplete="off" accesskey="e">
  <label for="Password" class="heading required" id="exUserPasswordLabel" aria-required="true"
    aria-label="Your password must be at least 8 characters long, but cannot exceed 16 characters. Passwords must contain at least one capital letter, one lowercase letter, one number and one special character (!@#$%*) and may not contain the word “password.” Passwords are case-sensitive.">
    Password: </label>
  <input type="password" aria-required="true" class="textLarge" id="Password" name="Password" maxlength="16" autocomplete="off" accesskey="p">
  <a href="#" onclick="return false;" class="helpa"><img src="/Content/images/icons/help.gif" class="helpimg" alt="More Information">
                    <span class="helpspn hide">Your password must be at least 8 characters long, but cannot exceed 16 characters. Passwords must contain at least one capital letter, one lowercase letter, one number and one special character (!@#$%*) and may not contain the word “password.” Passwords are case-sensitive.</span>
                </a>
  <p class="field-helper"><a href="/User/AAMSSendEmail">Forget Password?</a></p>
  <div class="button-wrapper"><a class="button" role="button" href="#"><span>Sign In</span></a></div>
</form>

Text Content

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pandemic, please reschedule your appointment if you are experiencing any of the
following symptoms: Fever or chills, cough, shortness of breath or difficulty
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we learn more about COVID-19 at:
https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html

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Email address: Password: Your password must be at least 8 characters long, but
cannot exceed 16 characters. Passwords must contain at least one capital letter,
one lowercase letter, one number and one special character (!@#$%*) and may not
contain the word “password.” Passwords are case-sensitive.

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