my.drdoctor.co.uk Open in urlscan Pro
20.108.244.236  Public Scan

Form analysis
1 forms found in the DOM

POST /quick-question/2eaa7d66-10e4-4cc2-b17c-0538db94c192

<form method="post" action="/quick-question/2eaa7d66-10e4-4cc2-b17c-0538db94c192">
  <div class="user-generated-content">
    <p>You are on the Cardiology waiting list for an appointment or been given an appointment. &nbsp;Please tell us if you still want your appointment with this department.&nbsp;</p>
    <p>Please answer YES if you would like to stay on the waiting list or wish to keep your appointment date</p>
    <p>Please answer NO if you would like to tell us you no longer want / need your appointment. Our team will then review you and you may be discharged to your GP.&nbsp;&nbsp;</p>
    <p>If you are unsure, please select YES and stay on the waiting list / keep your appointment date</p>
  </div>
  <div class="quick-question-options" id="question-list-options">
    <p>
      <label>
        <input type="radio" name="response" value="yes" class="sr-only">
        <span>Yes</span>
      </label>
    </p>
    <p>
      <label>
        <input type="radio" name="response" value="no" class="sr-only">
        <span>No</span>
      </label>
    </p>
    <p>
      <label>
        <input type="radio" name="response" value="unsure" class="sr-only">
        <span>Unsure</span>
      </label>
    </p>
  </div>
  <div class="actions">
    <input type="hidden" name="NCSRF" value="RandomBytes#1R0umJ+SGlXHyQ==|Hmac#1SxM/Y09Aq1BWfDAI7jbW5eFHg8oRN6kX5mauqM+xV8=|CreatedDate#2024-08-09T20:38:56.2453567+01:00">
    <input type="hidden" name="askForComment">
    <input type="submit" value="Next" class="button -subtle" id="question-next-button" disabled="">
  </div>
</form>

Text Content

COOKIES

We use essential cookies to help improve your experience. Learn more.

OK

You are on the Cardiology waiting list for an appointment or been given an
appointment.  Please tell us if you still want your appointment with this
department. 

Please answer YES if you would like to stay on the waiting list or wish to keep
your appointment date

Please answer NO if you would like to tell us you no longer want / need your
appointment. Our team will then review you and you may be discharged to your
GP.  

If you are unsure, please select YES and stay on the waiting list / keep your
appointment date

Yes

No

Unsure



Visit our help section

Service provided by DrDoctor