patient.medeohealth.com
Open in
urlscan Pro
23.36.162.72
Public Scan
URL:
https://patient.medeohealth.com/settings/invitations/971ddf1a-d630-41d0-aadd-6d6ac4e254bd?login_hint=ml4DBNYK3aVbWjS4InAZy8%2B3p...
Submission: On November 24 via manual from CH — Scanned from DE
Submission: On November 24 via manual from CH — Scanned from DE
Form analysis
2 forms found in the DOM<form _ngcontent-ykb-c239="" novalidate="" class="ng-untouched ng-pristine ng-invalid"><mat-form-field _ngcontent-ykb-c239="" appearance="fill"
class="mat-form-field qhr-idp-sign-up__field qhr-idp-sign-up__field-long-hint ng-tns-c79-1 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-should-float mat-form-field-has-label ng-untouched ng-pristine ng-valid ng-star-inserted">
<div class="mat-form-field-wrapper ng-tns-c79-1">
<div class="mat-form-field-flex ng-tns-c79-1"><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-1"><input _ngcontent-ykb-c239="" type="email" matinput="" formcontrolname="email" required=""
class="mat-input-element mat-form-field-autofill-control ng-tns-c79-1 ng-untouched ng-pristine ng-valid cdk-text-field-autofill-monitored" aria-describedby="mat-hint-0" id="mat-input-0" readonly="true" aria-invalid="false"
aria-required="true"><span class="mat-form-field-label-wrapper ng-tns-c79-1"><label class="mat-form-field-label ng-tns-c79-1 ng-star-inserted" id="mat-form-field-label-1" for="mat-input-0" aria-owns="mat-input-0"><!----><mat-label
_ngcontent-ykb-c239="" class="ng-tns-c79-1 ng-star-inserted">Email Address</mat-label><!----><span aria-hidden="true" class="mat-placeholder-required mat-form-field-required-marker ng-tns-c79-1 ng-star-inserted">
*</span><!----></label><!----></span></div><!---->
</div>
<div class="mat-form-field-underline ng-tns-c79-1 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c79-1"></span></div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-1"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-1 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint _ngcontent-ykb-c239=""
class="mat-hint ng-tns-c79-1 ng-star-inserted" id="mat-hint-0" style="">Contact the clinic if you want to update your email</mat-hint><!----><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-1"></div>
</div><!---->
</div>
</div>
</mat-form-field><mat-form-field _ngcontent-ykb-c239="" appearance="fill"
class="mat-form-field qhr-idp-sign-up__field qhr-idp-sign-up__field-long-hint ng-tns-c79-2 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid ng-star-inserted">
<div class="mat-form-field-wrapper ng-tns-c79-2">
<div class="mat-form-field-flex ng-tns-c79-2"><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-2"><input _ngcontent-ykb-c239="" matinput="" formcontrolname="password" data-test="password-field" required=""
class="mat-input-element mat-form-field-autofill-control ng-tns-c79-2 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" type="password" aria-describedby="mat-hint-1" id="mat-input-1" aria-required="true"><span
class="mat-form-field-label-wrapper ng-tns-c79-2"><label class="mat-form-field-label ng-tns-c79-2 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-3" for="mat-input-1" aria-owns="mat-input-1"><!----><mat-label
_ngcontent-ykb-c239="" class="ng-tns-c79-2 ng-star-inserted">Password</mat-label><!----><span aria-hidden="true" class="mat-placeholder-required mat-form-field-required-marker ng-tns-c79-2 ng-star-inserted">
*</span><!----></label><!----></span></div><!---->
</div>
<div class="mat-form-field-underline ng-tns-c79-2 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c79-2"></span></div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-2"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-2 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint _ngcontent-ykb-c239=""
class="mat-hint ng-tns-c79-2 ng-star-inserted" id="mat-hint-1" style="">Use 8 or more characters with a mix of upper/lower case letters, numbers & symbols</mat-hint><!----><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-2"></div>
</div><!---->
</div>
</div>
</mat-form-field><mat-form-field _ngcontent-ykb-c239="" appearance="fill"
class="mat-form-field qhr-idp-sign-up__field ng-tns-c79-3 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid ng-star-inserted">
<div class="mat-form-field-wrapper ng-tns-c79-3">
<div class="mat-form-field-flex ng-tns-c79-3"><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-3"><input _ngcontent-ykb-c239="" type="text" matinput="" formcontrolname="firstName" required=""
class="mat-input-element mat-form-field-autofill-control ng-tns-c79-3 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" id="mat-input-2" aria-required="true"><span
class="mat-form-field-label-wrapper ng-tns-c79-3"><label class="mat-form-field-label ng-tns-c79-3 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-5" for="mat-input-2" aria-owns="mat-input-2"><!----><mat-label
_ngcontent-ykb-c239="" class="ng-tns-c79-3 ng-star-inserted">First Name</mat-label><!----><span aria-hidden="true" class="mat-placeholder-required mat-form-field-required-marker ng-tns-c79-3 ng-star-inserted">
*</span><!----></label><!----></span></div><!---->
</div>
<div class="mat-form-field-underline ng-tns-c79-3 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c79-3"></span></div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-3"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-3 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-3"></div>
</div><!---->
</div>
</div>
</mat-form-field><mat-form-field _ngcontent-ykb-c239="" appearance="fill"
class="mat-form-field qhr-idp-sign-up__field ng-tns-c79-4 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid ng-star-inserted">
<div class="mat-form-field-wrapper ng-tns-c79-4">
<div class="mat-form-field-flex ng-tns-c79-4"><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-4"><input _ngcontent-ykb-c239="" type="text" matinput="" formcontrolname="lastName" required=""
class="mat-input-element mat-form-field-autofill-control ng-tns-c79-4 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" id="mat-input-3" aria-required="true"><span
class="mat-form-field-label-wrapper ng-tns-c79-4"><label class="mat-form-field-label ng-tns-c79-4 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-7" for="mat-input-3" aria-owns="mat-input-3"><!----><mat-label
_ngcontent-ykb-c239="" class="ng-tns-c79-4 ng-star-inserted">Last Name</mat-label><!----><span aria-hidden="true" class="mat-placeholder-required mat-form-field-required-marker ng-tns-c79-4 ng-star-inserted">
*</span><!----></label><!----></span></div><!---->
</div>
<div class="mat-form-field-underline ng-tns-c79-4 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c79-4"></span></div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-4"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-4 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-4"></div>
</div><!---->
</div>
</div>
</mat-form-field></form>
<form _ngcontent-ykb-c240="" novalidate="" class="ng-untouched ng-pristine ng-invalid"><qhr-date-field _ngcontent-ykb-c240="" label="Birthday *" class="qhr-medeo-sign-up__field" _nghost-ykb-c155="">
<div _ngcontent-ykb-c155="" class="qhr-date-field"><mat-label _ngcontent-ykb-c155="">Birthday *</mat-label>
<div _ngcontent-ykb-c155="" class="qhr-date-field__content"><mat-form-field _ngcontent-ykb-c155="" ngdefaultcontrol="" data-test="month"
class="mat-form-field qhr-date-field__month ng-tns-c79-5 mat-primary mat-form-field-type-mat-select mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-valid ng-star-inserted">
<div class="mat-form-field-wrapper ng-tns-c79-5">
<div class="mat-form-field-flex ng-tns-c79-5"><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-5"><mat-select _ngcontent-ykb-c155="" role="combobox" aria-autocomplete="none" aria-haspopup="true" placeholder="Month" required=""
class="mat-select ng-tns-c96-6 ng-tns-c79-5 mat-select-required mat-select-empty ng-untouched ng-pristine ng-valid ng-star-inserted" aria-labelledby="mat-form-field-label-9 mat-select-value-1" id="mat-select-0" tabindex="0"
aria-expanded="false" aria-required="true" aria-disabled="false" aria-invalid="false">
<div cdk-overlay-origin="" class="mat-select-trigger ng-tns-c96-6">
<div class="mat-select-value ng-tns-c96-6" id="mat-select-value-1"><span class="mat-select-placeholder mat-select-min-line ng-tns-c96-6 ng-star-inserted">Month</span><!----><!----></div>
<div class="mat-select-arrow-wrapper ng-tns-c96-6">
<div class="mat-select-arrow ng-tns-c96-6"></div>
</div>
</div><!---->
</mat-select><span class="mat-form-field-label-wrapper ng-tns-c79-5"><label class="mat-form-field-label ng-tns-c79-5 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-9" for="mat-select-0"
aria-owns="mat-select-0"><!----><mat-label _ngcontent-ykb-c155="" aria-label="Birthday" class="ng-tns-c79-5 ng-star-inserted">Month</mat-label><!----><span aria-hidden="true"
class="mat-placeholder-required mat-form-field-required-marker ng-tns-c79-5 ng-star-inserted"> *</span><!----></label><!----></span></div><!---->
</div>
<div class="mat-form-field-underline ng-tns-c79-5 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c79-5"></span></div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-5"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-5 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-5"></div>
</div><!---->
</div>
</div>
</mat-form-field><mat-form-field _ngcontent-ykb-c155="" ngdefaultcontrol="" data-test="day"
class="mat-form-field qhr-date-field__day ng-tns-c79-7 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid ng-star-inserted">
<div class="mat-form-field-wrapper ng-tns-c79-7">
<div class="mat-form-field-flex ng-tns-c79-7"><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-7"><input _ngcontent-ykb-c155="" matinput="" autocomplete="off" type="number" pattern="[0-9]*" min="1" max="31" required=""
class="mat-input-element mat-form-field-autofill-control ng-tns-c79-7 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" id="mat-input-4" aria-required="true"><span
class="mat-form-field-label-wrapper ng-tns-c79-7"><label class="mat-form-field-label ng-tns-c79-7 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-11" for="mat-input-4"
aria-owns="mat-input-4"><!----><mat-label _ngcontent-ykb-c155="" class="ng-tns-c79-7 ng-star-inserted">Day (DD)</mat-label><!----><span aria-hidden="true"
class="mat-placeholder-required mat-form-field-required-marker ng-tns-c79-7 ng-star-inserted"> *</span><!----></label><!----></span></div><!---->
</div>
<div class="mat-form-field-underline ng-tns-c79-7 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c79-7"></span></div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-7"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-7 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-7"></div>
</div><!---->
</div>
</div>
</mat-form-field><mat-form-field _ngcontent-ykb-c155="" ngdefaultcontrol="" data-test="year"
class="mat-form-field qhr-date-field__year ng-tns-c79-8 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid ng-star-inserted">
<div class="mat-form-field-wrapper ng-tns-c79-8">
<div class="mat-form-field-flex ng-tns-c79-8"><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-8"><input _ngcontent-ykb-c155="" matinput="" autocomplete="off" type="number" pattern="[0-9]*" min="1912" required=""
class="mat-input-element mat-form-field-autofill-control ng-tns-c79-8 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" id="mat-input-5" aria-required="true"><span
class="mat-form-field-label-wrapper ng-tns-c79-8"><label class="mat-form-field-label ng-tns-c79-8 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-13" for="mat-input-5"
aria-owns="mat-input-5"><!----><mat-label _ngcontent-ykb-c155="" class="ng-tns-c79-8 ng-star-inserted">Year (YYYY)</mat-label><!----><span aria-hidden="true"
class="mat-placeholder-required mat-form-field-required-marker ng-tns-c79-8 ng-star-inserted"> *</span><!----></label><!----></span></div><!---->
</div>
<div class="mat-form-field-underline ng-tns-c79-8 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c79-8"></span></div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-8"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-8 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-8"></div>
</div><!---->
</div>
</div>
</mat-form-field></div><!---->
</div>
</qhr-date-field><qhr-phone-type-field _ngcontent-ykb-c240="" label="Phone Type *" _nghost-ykb-c160="" data-value="mobile">
<div _ngcontent-ykb-c160="" class="qhr-phone-type-field"><mat-label _ngcontent-ykb-c160="" class="qhr-phone-type-field__label">Phone Type *</mat-label><mat-radio-group _ngcontent-ykb-c160="" role="radiogroup" data-test="phone-type-radio"
aria-label="Phone type" ngdefaultcontrol="" class="mat-radio-group qhr-phone-type-field__radiogroup ng-untouched ng-pristine ng-valid"><mat-radio-button _ngcontent-ykb-c160=""
class="mat-radio-button qhr-phone-type-field__radio mat-radio-checked mat-accent ng-star-inserted" name="mobile" data-test="mobile" value="mobile" id="mat-radio-2"><label class="mat-radio-label" for="mat-radio-2-input"><span
class="mat-radio-container"><span class="mat-radio-outer-circle"></span><span class="mat-radio-inner-circle"></span><input type="radio" class="mat-radio-input" id="mat-radio-2-input" name="mat-radio-group-0" value="mobile"
tabindex="0"><span mat-ripple="" class="mat-ripple mat-radio-ripple mat-focus-indicator"><span class="mat-ripple-element mat-radio-persistent-ripple"></span></span></span><span class="mat-radio-label-content"><span
style="display: none;"> </span>Mobile</span></label></mat-radio-button><mat-radio-button _ngcontent-ykb-c160="" class="mat-radio-button qhr-phone-type-field__radio mat-accent ng-star-inserted" name="home" data-test="home"
value="home" id="mat-radio-3"><label class="mat-radio-label" for="mat-radio-3-input"><span class="mat-radio-container"><span class="mat-radio-outer-circle"></span><span class="mat-radio-inner-circle"></span><input type="radio"
class="mat-radio-input" id="mat-radio-3-input" name="mat-radio-group-0" value="home" tabindex="-1"><span mat-ripple="" class="mat-ripple mat-radio-ripple mat-focus-indicator"><span
class="mat-ripple-element mat-radio-persistent-ripple"></span></span></span><span class="mat-radio-label-content"><span style="display: none;"> </span>Home</span></label></mat-radio-button><mat-radio-button
_ngcontent-ykb-c160="" class="mat-radio-button qhr-phone-type-field__radio mat-accent ng-star-inserted" name="work" data-test="work" value="work" id="mat-radio-4"><label class="mat-radio-label" for="mat-radio-4-input"><span
class="mat-radio-container"><span class="mat-radio-outer-circle"></span><span class="mat-radio-inner-circle"></span><input type="radio" class="mat-radio-input" id="mat-radio-4-input" name="mat-radio-group-0" value="work"
tabindex="-1"><span mat-ripple="" class="mat-ripple mat-radio-ripple mat-focus-indicator"><span class="mat-ripple-element mat-radio-persistent-ripple"></span></span></span><span class="mat-radio-label-content"><span
style="display: none;"> </span>Work</span></label></mat-radio-button><!----></mat-radio-group><qhr-form-field-error _ngcontent-ykb-c160="" _nghost-ykb-c154=""><!----></qhr-form-field-error></div>
</qhr-phone-type-field><qhr-phone-number-field _ngcontent-ykb-c240="" label="Phone Number" _nghost-ykb-c178="" data-value="">
<div _ngcontent-ykb-c178="" class="qhr-phone-number-field"><mat-form-field _ngcontent-ykb-c178=""
class="mat-form-field ng-tns-c79-9 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid ng-star-inserted">
<div class="mat-form-field-wrapper ng-tns-c79-9">
<div class="mat-form-field-flex ng-tns-c79-9"><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-9"><input _ngcontent-ykb-c178="" data-test="phone-number-input" matinput="" required="" type="tel"
class="mat-input-element mat-form-field-autofill-control ng-tns-c79-9 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" id="mat-input-6" data-placeholder="+1 506 234 5678" aria-required="true"><span
class="mat-form-field-label-wrapper ng-tns-c79-9"><label class="mat-form-field-label ng-tns-c79-9 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-15" for="mat-input-6"
aria-owns="mat-input-6"><!----><mat-label _ngcontent-ykb-c178="" class="ng-tns-c79-9 ng-star-inserted">Phone Number</mat-label><!----><span aria-hidden="true"
class="mat-placeholder-required mat-form-field-required-marker ng-tns-c79-9 ng-star-inserted"> *</span><!----></label><!----></span></div><!---->
</div>
<div class="mat-form-field-underline ng-tns-c79-9 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c79-9"></span></div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-9"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-9 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-9"></div>
</div><!---->
</div>
</div>
</mat-form-field><qhr-form-field-error _ngcontent-ykb-c178="" _nghost-ykb-c154=""><!----></qhr-form-field-error></div>
</qhr-phone-number-field><qhr-province-select-field _ngcontent-ykb-c240="" data-test="province-select" class="qhr-medeo-sign-up__field" _nghost-ykb-c179="" data-value="">
<div _ngcontent-ykb-c179="" class="qhr-province-select-field"><mat-form-field _ngcontent-ykb-c179=""
class="mat-form-field ng-tns-c79-10 mat-primary mat-form-field-type-mat-select mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label ng-untouched ng-pristine ng-invalid ng-star-inserted mat-form-field-should-float">
<div class="mat-form-field-wrapper ng-tns-c79-10">
<div class="mat-form-field-flex ng-tns-c79-10"><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-10"><mat-select _ngcontent-ykb-c179="" role="combobox" aria-autocomplete="none" aria-haspopup="true" required=""
class="mat-select ng-tns-c96-11 ng-tns-c79-10 mat-select-required ng-untouched ng-pristine ng-invalid ng-star-inserted" aria-labelledby="mat-form-field-label-17 mat-select-value-3" id="mat-select-2" tabindex="0" aria-expanded="false"
aria-required="true" aria-disabled="false" aria-invalid="false">
<div cdk-overlay-origin="" class="mat-select-trigger ng-tns-c96-11">
<div class="mat-select-value ng-tns-c96-11" id="mat-select-value-3"><!----><span class="mat-select-value-text ng-tns-c96-11 ng-star-inserted" style=""><span class="mat-select-min-line ng-tns-c96-11 ng-star-inserted">Select
One</span><!----><!----></span><!----></div>
<div class="mat-select-arrow-wrapper ng-tns-c96-11">
<div class="mat-select-arrow ng-tns-c96-11"></div>
</div>
</div><!---->
</mat-select><span class="mat-form-field-label-wrapper ng-tns-c79-10"><label class="mat-form-field-label ng-tns-c79-10 ng-star-inserted" id="mat-form-field-label-17" for="mat-select-2" aria-owns="mat-select-2"><!----><mat-label
_ngcontent-ykb-c179="" class="ng-tns-c79-10 ng-star-inserted">Province</mat-label><!----><span aria-hidden="true" class="mat-placeholder-required mat-form-field-required-marker ng-tns-c79-10 ng-star-inserted">
*</span><!----></label><!----></span></div><!---->
</div>
<div class="mat-form-field-underline ng-tns-c79-10 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c79-10"></span></div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-10"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-10 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-10"></div>
</div><!---->
</div>
</div>
</mat-form-field><qhr-form-field-error _ngcontent-ykb-c179="" _nghost-ykb-c154=""><!----></qhr-form-field-error></div>
</qhr-province-select-field><mat-divider _ngcontent-ykb-c240="" role="separator" class="mat-divider qhr-card-divider mat-divider-horizontal" aria-orientation="horizontal"></mat-divider><qhr-checkbox-field _ngcontent-ykb-c240=""
data-test="legal-checkbox" label="Terms of Service & Privacy Policy" class="qhr-medeo-sign-up__link" data-value="false">
<div class="qhr-checkbox-field"><mat-checkbox color="primary" class="mat-checkbox mat-primary ng-untouched ng-pristine ng-invalid" id="mat-checkbox-1"><label class="mat-checkbox-layout" for="mat-checkbox-1-input"><span
class="mat-checkbox-inner-container"><input type="checkbox" class="mat-checkbox-input cdk-visually-hidden" id="mat-checkbox-1-input" tabindex="0" aria-checked="false"><span matripple=""
class="mat-ripple mat-checkbox-ripple mat-focus-indicator"><span class="mat-ripple-element mat-checkbox-persistent-ripple"></span></span><span class="mat-checkbox-frame"></span><span class="mat-checkbox-background"><svg version="1.1"
focusable="false" viewBox="0 0 24 24" aria-hidden="true" class="mat-checkbox-checkmark">
<path fill="none" stroke="white" d="M4.1,12.7 9,17.6 20.3,6.3" class="mat-checkbox-checkmark-path"></path>
</svg><span class="mat-checkbox-mixedmark"></span></span></span><span class="mat-checkbox-label"><span style="display: none;"> </span><span _ngcontent-ykb-c240="" class="qhr-medeo-sign-up__link-line"> I agree to Medeo's
<a _ngcontent-ykb-c240="" aria-label="Terms of Service, opens a new tab in your browser" rel="noopener noreferrer" target="_blank" data-test="terms-of-service" class="qhr-medeo-sign-up__link-anchor" href="https://patient.medeohealth.com/legal/user"> Terms of Service </a>
and
<a _ngcontent-ykb-c240="" aria-label="Privacy Policy, opens a new tab in your browser" rel="noopener noreferrer" target="_blank" data-test="privacy-policy" href="https://patient.medeohealth.com/legal/privacy"> Privacy Policy </a></span></span></label></mat-checkbox>
</div>
</qhr-checkbox-field></form>
Text Content
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