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download.igpr.co.uk Open in urlscan Pro
83.98.6.80  Public Scan

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URL: https://download.igpr.co.uk/Download/72c8932d-4ca6-4d74-9303-17ef313b3b65
Submission: On June 13 via manual from CH — Scanned from GB

Form analysis 1 forms found in the DOM

<form id="form-pane">
  <input id="accessId" type="hidden" name="AccessId" value="72c8932d-4ca6-4d74-9303-17ef313b3b65" autocomplete="off">
  <div class="row justify-content-md-center">
    <div class="col-md-auto">
      <h3>Additional notes from Crags Health Care:</h3>
    </div>
  </div>
  <div class="row justify-content-md-center m-2">
    <div class="col-md-auto additional-notes">
      <p>many thanks crags healthcare</p>
    </div>
  </div>
  <div class="row justify-content-md-center">
    <div class="col-md-auto">
      <h3>Please confirm the Patient's date of birth</h3>
    </div>
  </div>
  <div class="row justify-content-md-center">
    <div class="col-lg-12 justify-content-md-center">
      <table class="layout">
        <tbody>
          <tr>
            <td>
              <label>Day:</label>
            </td>
            <td>
              <select id="dobDate" class="form-control custom-control-inline" style="width: 90px">
                <option value="1">1</option>
                <option value="2">2</option>
                <option value="3">3</option>
                <option value="4">4</option>
                <option value="5">5</option>
                <option value="6">6</option>
                <option value="7">7</option>
                <option value="8">8</option>
                <option value="9">9</option>
                <option value="10">10</option>
                <option value="11">11</option>
                <option value="12">12</option>
                <option value="13">13</option>
                <option value="14">14</option>
                <option value="15">15</option>
                <option value="16">16</option>
                <option value="17">17</option>
                <option value="18">18</option>
                <option value="19">19</option>
                <option value="20">20</option>
                <option value="21">21</option>
                <option value="22">22</option>
                <option value="23">23</option>
                <option value="24">24</option>
                <option value="25">25</option>
                <option value="26">26</option>
                <option value="27">27</option>
                <option value="28">28</option>
                <option value="29">29</option>
                <option value="30">30</option>
                <option value="31">31</option>
              </select>
            </td>
          </tr>
          <tr>
            <td>
              <label>Month:</label>
            </td>
            <td>
              <select id="dobMonth" class="form-control custom-control-inline" style="width: 110px">
                <option value="1">January</option>
                <option value="2">February</option>
                <option value="3">March</option>
                <option value="4">April</option>
                <option value="5">May</option>
                <option value="6">June</option>
                <option value="7">July</option>
                <option value="8">August</option>
                <option value="9">September</option>
                <option value="10">October</option>
                <option value="11">November</option>
                <option value="12">December</option>
              </select>
            </td>
          </tr>
          <tr>
            <td>
              <label>Year:</label>
            </td>
            <td>
              <select id="dobYear" class="form-control custom-control-inline" style="width: 90px">
                <option value="1900">1900</option>
                <option value="1901">1901</option>
                <option value="1902">1902</option>
                <option value="1903">1903</option>
                <option value="1904">1904</option>
                <option value="1905">1905</option>
                <option value="1906">1906</option>
                <option value="1907">1907</option>
                <option value="1908">1908</option>
                <option value="1909">1909</option>
                <option value="1910">1910</option>
                <option value="1911">1911</option>
                <option value="1912">1912</option>
                <option value="1913">1913</option>
                <option value="1914">1914</option>
                <option value="1915">1915</option>
                <option value="1916">1916</option>
                <option value="1917">1917</option>
                <option value="1918">1918</option>
                <option value="1919">1919</option>
                <option value="1920">1920</option>
                <option value="1921">1921</option>
                <option value="1922">1922</option>
                <option value="1923">1923</option>
                <option value="1924">1924</option>
                <option value="1925">1925</option>
                <option value="1926">1926</option>
                <option value="1927">1927</option>
                <option value="1928">1928</option>
                <option value="1929">1929</option>
                <option value="1930">1930</option>
                <option value="1931">1931</option>
                <option value="1932">1932</option>
                <option value="1933">1933</option>
                <option value="1934">1934</option>
                <option value="1935">1935</option>
                <option value="1936">1936</option>
                <option value="1937">1937</option>
                <option value="1938">1938</option>
                <option value="1939">1939</option>
                <option value="1940">1940</option>
                <option value="1941">1941</option>
                <option value="1942">1942</option>
                <option value="1943">1943</option>
                <option value="1944">1944</option>
                <option value="1945">1945</option>
                <option value="1946">1946</option>
                <option value="1947">1947</option>
                <option value="1948">1948</option>
                <option value="1949">1949</option>
                <option value="1950">1950</option>
                <option value="1951">1951</option>
                <option value="1952">1952</option>
                <option value="1953">1953</option>
                <option value="1954">1954</option>
                <option value="1955">1955</option>
                <option value="1956">1956</option>
                <option value="1957">1957</option>
                <option value="1958">1958</option>
                <option value="1959">1959</option>
                <option value="1960">1960</option>
                <option value="1961">1961</option>
                <option value="1962">1962</option>
                <option value="1963">1963</option>
                <option value="1964">1964</option>
                <option value="1965">1965</option>
                <option value="1966">1966</option>
                <option value="1967">1967</option>
                <option value="1968">1968</option>
                <option value="1969">1969</option>
                <option value="1970">1970</option>
                <option value="1971">1971</option>
                <option value="1972">1972</option>
                <option value="1973">1973</option>
                <option value="1974">1974</option>
                <option value="1975">1975</option>
                <option value="1976">1976</option>
                <option value="1977">1977</option>
                <option value="1978">1978</option>
                <option value="1979">1979</option>
                <option value="1980">1980</option>
                <option value="1981">1981</option>
                <option value="1982">1982</option>
                <option value="1983">1983</option>
                <option value="1984">1984</option>
                <option value="1985">1985</option>
                <option value="1986">1986</option>
                <option value="1987">1987</option>
                <option value="1988">1988</option>
                <option value="1989">1989</option>
                <option value="1990">1990</option>
                <option value="1991">1991</option>
                <option value="1992">1992</option>
                <option value="1993">1993</option>
                <option value="1994">1994</option>
                <option value="1995">1995</option>
                <option value="1996">1996</option>
                <option value="1997">1997</option>
                <option value="1998">1998</option>
                <option value="1999">1999</option>
                <option value="2000">2000</option>
                <option value="2001">2001</option>
                <option value="2002">2002</option>
                <option value="2003">2003</option>
                <option value="2004">2004</option>
                <option value="2005">2005</option>
                <option value="2006">2006</option>
                <option value="2007">2007</option>
                <option value="2008">2008</option>
                <option value="2009">2009</option>
                <option value="2010">2010</option>
                <option value="2011">2011</option>
                <option value="2012">2012</option>
                <option value="2013">2013</option>
                <option value="2014">2014</option>
                <option value="2015">2015</option>
                <option value="2016">2016</option>
                <option value="2017">2017</option>
                <option value="2018">2018</option>
                <option value="2019">2019</option>
                <option value="2020">2020</option>
                <option value="2021">2021</option>
                <option value="2022">2022</option>
                <option value="2023">2023</option>
                <option value="2024">2024</option>
                <option value="2025">2025</option>
                <option value="2026">2026</option>
                <option value="2027">2027</option>
                <option value="2028">2028</option>
                <option value="2029">2029</option>
                <option value="2030">2030</option>
              </select>
              <img class="icon-valid hidden" src="/Content/ico-valid.png" alt="Green tick">
            </td>
          </tr>
        </tbody>
      </table>
    </div>
  </div>
  <div id="patient-error" class="row justify-content-md-center text-center" style="display: none; margin-top: 20px;">
    <div class="col-lg-12">
      <p class="error">The details you have entered do not match the patient.</p>
      <p class="error">Please check you have the correct patient details and try again.</p>
      <p class="error">Please note you have <span class="strong remaining-attempts"></span> remaining attempts to enter the correct details.</p>
      <p class="error">For any enquiries please contact Crags Health Care.</p>
    </div>
  </div>
  <div id="password-error" class="row justify-content-md-center text-center" style="display: none; margin-top: 20px; ">
    <div class="col-lg-12">
      <p class="error">The password you have entered is incorrect</p>
      <p class="error">Please check the password sent to the email address above and try again.</p>
      <p class="error">Please note you have <span class="strong remaining-attempts"></span> remaining attempts to enter the correct details.</p>
      <p class="error">For any enquiries please contact Crags Health Care.</p>
    </div>
  </div>
  <div id="locked-error" class="row justify-content-md-center text-center" style="display: none; margin-top: 20px;">
    <div class="col-lg-12">
      <p class="error">This report has been locked after too many access attempts.</p>
      <p class="error">If you still need to access this report please contact Crags Health Care and ask them to send a new secure link</p>
    </div>
  </div>
  <div class="row justify-content-md-center" style="margin-top: 20px;">
    <div class="col-md-auto text-center">
      <button id="next" type="button" class="btn btn-primary" disabled="disabled">Next</button>
    </div>
  </div>
</form>

Text Content

CRAGS HEALTH CARE HAS SENT A COPY OF YOUR INSURANCE REPORT,
REF: (PUW01PC8H)


ADDITIONAL NOTES FROM CRAGS HEALTH CARE:

many thanks crags healthcare


PLEASE CONFIRM THE PATIENT'S DATE OF BIRTH

Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
29 30 31 Month: January February March April May June July August September
October November December Year: 1900 1901 1902 1903 1904 1905 1906 1907 1908
1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924
1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940
1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956
1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972
1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988
1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
2021 2022 2023 2024 2025 2026 2027 2028 2029 2030

The details you have entered do not match the patient.

Please check you have the correct patient details and try again.

Please note you have remaining attempts to enter the correct details.

For any enquiries please contact Crags Health Care.

The password you have entered is incorrect

Please check the password sent to the email address above and try again.

Please note you have remaining attempts to enter the correct details.

For any enquiries please contact Crags Health Care.

This report has been locked after too many access attempts.

If you still need to access this report please contact Crags Health Care and ask
them to send a new secure link

Next


YOUR INTERNET BROWSER IS NOT SUPPORTED.


TO USE THIS WEBSITE YOU NEED TO USE A MODERN BROWSER SUCH AS GOOGLE CHROME,
SAFARI (MAC), FIREFOX OR MICROSOFT EDGE


PLEASE CLICK THE LINK YOU RECEIVED AGAIN AFTER INSTALLING ONE OF THESE BROWSERS


COOKIES ARE NOT ENABLED


TO USE THIS WEBSITE YOU NEED TO HAVE COOKIES ENABLED IN YOUR INTERNET BROWSER


TIP: YOU CAN TURN COOKIES ON IN SETTINGS


THIS WEBSITE USES ONLY STRICTLY NECESSARY COOKIES TO ENABLE ACCESS TO YOUR
REPORT. FOR MORE INFORMATION PLEASE READ OUT PRIVACY POLICY

;
Privacy Policy