mymsdh.umc.edu
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Submitted URL: https://mymsdh.umc.edu/MyChart_MSDH_PRD/s/IVHSBMTQXQPXDONLJVFUTIBGP4/Activate
Effective URL: https://mymsdh.umc.edu/MyChart_MSDH_PRD/accesscheck.asp?InstAct=WP-24Tup3QP1JHrkZ0-2FK6M5HFnqsC1XF4UkdY9lezhBwZO-2Bg-3D...
Submission: On January 11 via manual from US — Scanned from DE
Effective URL: https://mymsdh.umc.edu/MyChart_MSDH_PRD/accesscheck.asp?InstAct=WP-24Tup3QP1JHrkZ0-2FK6M5HFnqsC1XF4UkdY9lezhBwZO-2Bg-3D...
Submission: On January 11 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST /MyChart_MSDH_PRD/accesscheck.asp
<form autocomplete="off" method="post" action="/MyChart_MSDH_PRD/accesscheck.asp" id="signupForm" onsubmit="return checkUserId('/MyChart_MSDH_PRD/en-US/Images/warning.png');">
<div class="formcontents">
<div class="hidden"><input type="hidden" class="hidden" name="sec_token" value="B29BCD9D686B4E6C842DCF519D3642C4" autocomplete="off"></div>
<div class="hidden"><input type="hidden" class="hidden" name="instactsignuptoken" value="4809E2BE7F85401F83673A70B09E7A8B" autocomplete="off"></div>
<div class="title">
<h1 class="header">MyChart Signup</h1>
<div id="assistiveicons"><img class="assistiveicon" alt="" src="/MyChart_MSDH_PRD/en-US/images/space.gif"></div>
</div><input type="hidden" class="hidden" name="instactcode" value="8epNaRp6mq+dNL0N6Dn+hAXX" autocomplete="off"><input type="hidden" class="hidden" name="instactqueryparam"
value="WP-24Tup3QP1JHrkZ0-2FK6M5HFnqsC1XF4UkdY9lezhBwZO-2Bg-3D-24VJiTAgrobFGi5MUHyzN-2FXgtR-2FQjebQQn3NDNgg95NVw-3D" autocomplete="off">
<div id="loginDiv">
<div id="signuperror" class="alert signUpFieldError"></div>
<div class="formsection">
<label for="login">MyChart username</label><input class="jsreq" type="text" id="login" name="Login" value="" maxlength="128" onkeyup="" onblur="" autocorrect="off" autocomplete="off">
</div>
</div>
<div id="Loginerror" class="alert signUpFieldError"></div>
<div id="passwordDiv">
<div id="passwordFieldDiv" class="formsection">
<label for="Password" id="PasswordLabel"> <span class="label">Create password</span>
</label><a href="#" id="pwdButton"><img id="pwdButtonImg" src="/MyChart_MSDH_PRD/en-US/images/info_grey.png" alt="Screen readers: use read next line command to hear password guidelines." title="" onclick="showGuideLines();"></a><input
type="password" name="Password" id="Password" onkeyup="isPasswordFieldsError(this,document.getElementById('Retype'),'',1,'',1); matchPasswordFields('Password','PasswordText','showPwd'); updPwdStrClient();"
onblur="isPasswordFieldsError(this,document.getElementById('Retype'),'','',1,1); matchPasswordFields('Password','PasswordText','showPwd'); updPwdStrClient(); togglePwdStrengthDiv();" onfocus="togglePwdStrengthDiv();" width="90%"
autocomplete="off"><input class="hidden" type="input" name="PasswordText" id="PasswordText"
onkeyup="isPasswordFieldsError(this,document.getElementById('Retype'),'',1,'',1); matchPasswordFields('Password','PasswordText','showPwd'); updPwdStrClient();"
onblur="isPasswordFieldsError(this,document.getElementById('Retype'),'','',1,1); matchPasswordFields('Password','PasswordText','showPwd'); updPwdStrClient(); togglePwdStrengthDiv();" onfocus="togglePwdStrengthDiv();" width="90%"
autocomplete="off">
<div id="pwdGuidelines">
<div id="pwdInstructions" class="hidden">Must contain at least: <ul>
<li>One lowercase letter.</li>
<li>One uppercase letter.</li>
<li>One number.</li>
<li>One special character.</li>
</ul>
</div>
</div><button type="button" id="showPwd" name="showPwd" onclick="showPassword('Password','PasswordText','showPwd','PasswordLabel')" autocomplete="off">Show</button>
</div>
<div id="LoginPassworderror" class="alert signUpFieldError">
</div>
</div>
<div id="passwordStrength" class="hidden">
<div id="pwdStrLabel">Password strength<br style="display: none;"></div>
<div id="pwdStrengthDiv0"></div>
<div id="pwdStrengthDiv50"></div>
<div id="pwdStrengthDiv75"></div>
<div id="pwdStrengthDiv100"></div>
<div id="passwordStrengthWords"></div>
</div>
<div id="verificationItemsDiv">
<script type="text/javascript">
var sEmptyFieldErrorDOB = HTMLUnencode("<span class="clearlabel">Error: </span>Please enter your date of birth."),
sInvalidFieldErrorDOB = HTMLUnencode("<span class="clearlabel">Error: </span>Invalid date of birth.");
</script>
<fieldset class="formsection">
<legend class="compact header small">Date of birth</legend><label class="clearlabel inlinelabel" for="dob1">Month of birth</label>
<div class="segment2"><input class="jsreq" type="number" name="dob" id="dob1" maxlength="2" value=""
onkeyup="autotab(event,this,document.getElementById('dob2')); isDiscreteFieldsError('dob','3','1','doberror',sEmptyFieldErrorDOB,sInvalidFieldErrorDOB,'1',this,'1','1');"
onkeydown="easyDOBEntry(this,1,'',1); checkIfTabAllowed(event,this); checkIfFocusOnPrevField(event,this,'dob',1);"
onblur="easyDOBEntry(this,1); isDiscreteFieldsError('dob','3','1','doberror',sEmptyFieldErrorDOB,sInvalidFieldErrorDOB,'',this,'1','1');" onclick="selectIfFull(this);" onkeypress="removeCharFromField(event,this,'/','2');"
autocomplete="off">
<div class="helptext accessibleLabel" aria-hidden="true">mm</div>
</div><span class="separator subtle" aria-hidden="true">/</span><label class="clearlabel inlinelabel" for="dob2">Day of birth</label>
<div class="segment2"><input class="jsreq" type="number" name="dob" id="dob2" maxlength="2" value=""
onkeyup="autotab(event,this,document.getElementById('dob3')); isDiscreteFieldsError('dob','3','1','doberror',sEmptyFieldErrorDOB,sInvalidFieldErrorDOB,'1',this,'1','1');"
onkeydown="easyDOBEntry(this,1,'',1); checkIfTabAllowed(event,this); checkIfFocusOnPrevField(event,this,'dob',2);"
onblur="easyDOBEntry(this,1); isDiscreteFieldsError('dob','3','1','doberror',sEmptyFieldErrorDOB,sInvalidFieldErrorDOB,'',this,'1','1');" onclick="selectIfFull(this);" onkeypress="removeCharFromField(event,this,'/','2');"
autocomplete="off">
<div class="helptext accessibleLabel" aria-hidden="true">dd</div>
</div><span class="separator subtle" aria-hidden="true">/</span><label class="clearlabel inlinelabel" for="dob3">Year of birth</label>
<div class="segment4"><input class="jsreq" type="number" name="dob" id="dob3" maxlength="4" value="" onkeyup="isDiscreteFieldsError('dob','3','1','doberror',sEmptyFieldErrorDOB,sInvalidFieldErrorDOB,'1',this,'1','1');"
onkeydown="easyDOBEntry(this,1,1,1); checkIfTabAllowed(event,this); checkIfFocusOnPrevField(event,this,'dob',3);"
onblur="easyDOBEntry(this,1,1); isDiscreteFieldsError('dob','3','1','doberror',sEmptyFieldErrorDOB,sInvalidFieldErrorDOB,'',this,'1','1');" onclick="selectIfFull(this);" onkeypress="removeCharFromField(event,this,'/','2');"
autocomplete="off">
<div class="helptext accessibleLabel" aria-hidden="true">yyyy</div>
</div>
<div id="doberror" class="signUpFieldError"></div>
</fieldset>
</div>
<div id="secResponsesDiv"></div> <input class="button jsreq completeworkflow" type="submit" name="instactsignup" id="instactsignup" value="Submit" title="" autocomplete="off">
</div>
</form>
Text Content
MYCHART SIGNUP MyChart username Create password Must contain at least: * One lowercase letter. * One uppercase letter. * One number. * One special character. Show Password strength Date of birthMonth of birth mm /Day of birth dd /Year of birth yyyy