jeffersonhospital-secure.org Open in urlscan Pro
63.71.15.152  Public Scan

Form analysis
3 forms found in the DOM

Name: sdform — POST register?b=tjuh

<form name="sdform" onsubmit="return checkEntriesNOW()" action="register?b=tjuh" method="post">
  <div id="staticerrormsgid">
    <noscript>
      <p>JavaScript is needed for this application. Please turn on JavaScript for your Internet browser or contact your administrator.</p>
    </noscript>
  </div>
  <div id="errmsgid">
  </div>
  <div class="contentheading">
    <h1>Register Account</h1>
  </div>
  <div id="instructiontext">Register below for your mailbox to send and receive secure messages.</div>
  <div id="registergreybox">
    <div id="topaccent1"></div>
    <div id="topaccent2"></div>
    <div id="registerinfo">
      <p id="emailfield">
        <label for="registeremailaddress">Email Address:</label>
        <input id="registeremailaddress" type="email" name="em" value="drwilliehoglesby@gmail.com" size="30" maxlength="250" class="readonlyInput" readonly="" autocorrect="off" autocapitalize="off" autocomplete="off">
      </p>
      <p id="password1field">
        <label for="password1"> Password: </label>
        <input id="password1" type="password" name="passphrase" size="30" maxlength="250" autocomplete="off">
      </p>
      <p id="password2field">
        <label for="password2"> Re-enter Password: </label>
        <input id="password2" type="password" name="secondpassphrase" size="30" maxlength="250" autocomplete="off">
      </p>
      <div id="passwordrules">
        <label> Password Rules </label>
        <div id="passwordrulestext">
          <div>Passwords must be at least 6 characters in length, and meet all of the following conditions:</div>
          <ul>
            <li>Contain both alphabetic and numeric characters</li>
          </ul>
          <div></div>
          <div>Passwords cannot match email address.</div>
        </div>
      </div>
      <input id="cancelbutton" type="button" class="button" value="Cancel" name="cancel" onclick="javascript:window.location.href='login?b=tjuh'">
      <input id="submitbutton" value="Register" type="submit" name="submit password" class="button">
    </div>
    <div id="bottomaccent1"></div>
    <div id="bottomaccent2"></div>
  </div>
  <div id="subscribetext"><a href="http://www.zixcorp.com/info/zixmail_ZMC">Learn more</a> about receiving secure messages directly to your inbox.</div>
  <div id="customersupporttext">For Customer Support, please <a href="https://apps.jeffersonhospital.org/zix/" rel="external">click here</a>.</div>
  <input type="hidden" id="access_token" name="access_token" value="">
  <input type="hidden" id="network" name="network" value="">
</form>

Name: languageForm — POST register?b=tjuh

<form name="languageForm" method="post" action="register?b=tjuh">
  <input type="hidden" name="submit_language" value="">
</form>

Name: googleSigninForm — POST googleoauthcallback?b=tjuh

<form id="googleSigninForm" name="googleSigninForm" method="post" action="googleoauthcallback?b=tjuh">
  <input type="hidden" id="code" name="code" value="">
</form>

Text Content

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Thomas Jefferson University and Hospitals

JavaScript is needed for this application. Please turn on JavaScript for your
Internet browser or contact your administrator.




REGISTER ACCOUNT

Register below for your mailbox to send and receive secure messages.

Email Address:

Password:

Re-enter Password:

Password Rules
Passwords must be at least 6 characters in length, and meet all of the following
conditions:
 * Contain both alphabetic and numeric characters


Passwords cannot match email address.


Learn more about receiving secure messages directly to your inbox.
For Customer Support, please click here.


Jefferson Secure Email Information
Jefferson Home Page
Thomas Jefferson University and Hospitals

This service is hosted by Zix on behalf of Thomas Jefferson University and
Hospitals More Information