covid19genophyll.as.me Open in urlscan Pro
44.226.210.124 Public Scan

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Submitted URL:
http://covid19genophyll.as.me/
Effective URL:
https://covid19genophyll.as.me/schedule.php
Submission: On March 11 via manual (March 11th 2022, 4:10:59 pm UTC) from CA — Scanned from CA

Form analysis
1 forms found in the DOM

<form id="appointment-form" class="content-scheduling-steps" style="" novalidate="">
  <input type="hidden" name="owner" id="owner" value="23269811" data-original-text="23269811">
  <input type="hidden" name="isIntegratedSquarespace" id="isIntegratedSquarespace" value="true" data-original-text="true">
  <input type="hidden" id="free" value="">
  <input type="hidden" name="linkAppointmentType" value="null" data-original-text="null">
  <input type="hidden" name="linkCalendar" value="null" data-original-text="null">
  <input type="hidden" id="upgradeUrl" name="upgradeUrl" value="https://contrabass-quillfish-sx79.squarespace.com/config/scheduling-service/preferences.php?action=myaccount&amp;from=free-embed-popup"
    data-original-text="https://contrabass-quillfish-sx79.squarespace.com/config/scheduling-service/preferences.php?action=myaccount&amp;from=free-embed-popup">
  <input type="hidden" class="certificate-field" id="certificate" name="certificate" value="" size="16">
  <div class="business-container all-steps-visible step-pane " id="step-pick-appointment" data-step="pick-appointment">
    <h1 class="business-name babel-ignore" data-original-text="Covid-19 RT-PCR Testing">Covid-19 RT-PCR Testing</h1>
    <div class="business-content-logo-adjust-container">
      <div class="heading-actions">
        <div class="login-container client-login"><span class="-b-fake-parent" data-original-text="
				Returning? "> Returning?
          </span><a href="client-login.php?owner=23269811&amp;PHPSESSID=osqomchahgvpc5jbs68gs3899h&amp;returnUrl=%2Fschedule.php%3Fowner%3D23269811%26" class="client-login-btn branded" data-qa="client-login-button" data-original-text="Log in">Log in</a>
        </div>
      </div>
      <div class="babel-ignore business-description" style="display:none">
      </div>
    </div>
    <h2 class="step-title">
      <span class="step-number" data-original-text="1">1</span>
      <a style="color:inherit;text-decoration: none" href="/schedule.php?owner=23269811&amp;" data-original-text="Choose Appointment">Choose Appointment</a>
    </h2>
    <input type="text" id="jump-to-top" style="display:none;height:10px;width:10px;border:none;background:transparent;opacity:0;overflow:hidden;">
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    <div class="pane-content choose-appointment-pane">
      <div class="select select-type ">
        <span class="reopen-dropdown fa fa-chevron-down"></span>
        <div class="group-quantity-container"><span class="-b-fake-parent" data-original-text="
						Quantity: "> Quantity: </span><input type="number" id="group-quantity" class="form-control inline-field" min="1" value="1" size="1" data-original-text="1">
        </div>
        <input type="radio" name="appointmentType" data-is-group="0" data-sms-reminders-enabled="" data-sms-opt-in-enabled="" id="appointmentType-23837223" value="23837223" data-original-text="23837223">
        <div class="select-item-box select-item " data-qa="appointment-23837223-select" tabindex="0">
          <label class="babel-ignore" for="appointmentType-23837223">
            <span class="appointment-type-name" data-original-text="Covid 19 RT PCR Test - Insured">Covid 19 RT PCR Test - Insured</span>
          </label>
          <div class="duration-container">
            <span class="duration babel-ignore" data-original-text="10 minutes">10 minutes</span>
          </div>
          <div class="type-description text-muted"
            data-original-text="Please note that most insurances require testing be medically necessary (e.g. exposed to COVID-19, symptomatic, or doctor's prescription/referral) for coverage. Due to the CARES Act, all medically necessary testing is covered 100% and there is no out-of-pocket charge.">
            Please note that most insurances require testing be medically necessary (e.g. exposed to COVID-19, symptomatic, or doctor's prescription/referral) for coverage. Due to the CARES Act, all medically necessary testing is covered 100% and
            there is no out-of-pocket charge.</div>
          <div class="clearfix"></div>
        </div>
        <input type="radio" name="appointmentType" data-is-group="0" data-sms-reminders-enabled="" data-sms-opt-in-enabled="" id="appointmentType-23837648" value="23837648" data-original-text="23837648">
        <div class="select-item-box select-item " data-qa="appointment-23837648-select" tabindex="0">
          <label class="babel-ignore" for="appointmentType-23837648">
            <span class="appointment-type-name" data-original-text="Covid 19 RT PCR Test - Self Pay (e.g. travel, non-US residents)">Covid 19 RT PCR Test - Self Pay (e.g. travel, non-US residents)</span>
          </label>
          <div class="duration-container">
            <span class="duration babel-ignore" data-original-text="10 minutes">10 minutes</span>
            <span class="at-desc" data-original-text="@">@</span>
            <span class="price">
              <span data-original-text="
						$125.00
					"> $125.00 </span>
            </span>
          </div>
          <div class="clearfix"></div>
        </div>
        <input type="radio" name="appointmentType" data-is-group="0" data-sms-reminders-enabled="" data-sms-opt-in-enabled="" id="appointmentType-25403264" value="25403264" data-original-text="25403264">
        <div class="select-item-box select-item " data-qa="appointment-25403264-select" tabindex="0">
          <label class="babel-ignore" for="appointmentType-25403264">
            <span class="appointment-type-name" data-original-text="Covid 19 RT PCR Test - Uninsured (Only available for those with no insurance coverage)">Covid 19 RT PCR Test - Uninsured (Only available for those with no insurance coverage)</span>
          </label>
          <div class="duration-container">
            <span class="duration babel-ignore" data-original-text="10 minutes">10 minutes</span>
          </div>
          <div class="clearfix"></div>
        </div>
        <input type="radio" name="appointmentType" data-is-group="0" data-sms-reminders-enabled="" data-sms-opt-in-enabled="" id="appointmentType-26180721" value="26180721" data-original-text="26180721">
        <div class="select-item-box select-item " data-qa="appointment-26180721-select" tabindex="0">
          <label class="babel-ignore" for="appointmentType-26180721">
            <span class="appointment-type-name" data-original-text="Covid 19 RT PCR Test - Self Pay (e.g. travel, non-US residents)">Covid 19 RT PCR Test - Self Pay (e.g. travel, non-US residents)</span>
          </label>
          <div class="duration-container">
            <span class="duration babel-ignore" data-original-text="10 minutes">10 minutes</span>
            <span class="at-desc" data-original-text="@">@</span>
            <span class="price">
              <span data-original-text="
						$140.00
					"> $140.00 </span>
            </span>
          </div>
          <div class="type-description text-muted"><span class="-b-fake-parent"
              data-original-text="We accept all insurance, if testing is medically necessary. Please note, most insurances have a policy stating that they will not cover the cost of testing for travel but will cover medically necessary testing, such as if you have symptoms or are exposed to COVID-19. Example below:">We
              accept all insurance, if testing is medically necessary. Please note, most insurances have a policy stating that they will not cover the cost of testing for travel but will cover medically necessary testing, such as if you have symptoms
              or are exposed to COVID-19. Example below:</span><br><span class="-b-fake-parent" data-original-text="
United Healthcare: https://www.uhc.com/health-and-wellness/health-topics/covid-19/coverage-and-resources"> United Healthcare: https://www.uhc.com/health-and-wellness/health-topics/covid-19/coverage-and-resources</span></div>
          <div class="clearfix"></div>
        </div>
        <input type="radio" name="appointmentType" data-is-group="0" data-sms-reminders-enabled="" data-sms-opt-in-enabled="" id="appointmentType-27481004" value="27481004" data-original-text="27481004">
        <div class="select-item-box select-item " data-qa="appointment-27481004-select" tabindex="0">
          <label class="babel-ignore" for="appointmentType-27481004">
            <span class="appointment-type-name" data-original-text="Covid 19 RT PCR Test - Self Pay (e.g. travel, non-US residents)">Covid 19 RT PCR Test - Self Pay (e.g. travel, non-US residents)</span>
          </label>
          <div class="duration-container">
            <span class="duration babel-ignore" data-original-text="10 minutes">10 minutes</span>
            <span class="at-desc" data-original-text="@">@</span>
            <span class="price">
              <span data-original-text="
						$150.00
					"> $150.00 </span>
            </span>
          </div>
          <div class="type-description text-muted"><span class="-b-fake-parent"
              data-original-text="We accept all insurance, if testing is medically necessary. Please note, most insurances have a policy stating that they will not cover the cost of testing for travel but will cover medically necessary testing, such as if you have symptoms or are exposed to COVID-19. Example below:">We
              accept all insurance, if testing is medically necessary. Please note, most insurances have a policy stating that they will not cover the cost of testing for travel but will cover medically necessary testing, such as if you have symptoms
              or are exposed to COVID-19. Example below:</span><br><span class="-b-fake-parent" data-original-text="
United Healthcare: https://www.uhc.com/health-and-wellness/health-topics/covid-19/coverage-and-resources"> United Healthcare: https://www.uhc.com/health-and-wellness/health-topics/covid-19/coverage-and-resources</span></div>
          <div class="clearfix"></div>
        </div>
        <input type="radio" name="appointmentType" data-is-group="0" data-sms-reminders-enabled="" data-sms-opt-in-enabled="" id="appointmentType-28660019" value="28660019" data-original-text="28660019">
        <div class="select-item-box select-item " data-qa="appointment-28660019-select" tabindex="0">
          <label class="babel-ignore" for="appointmentType-28660019">
            <span class="appointment-type-name" data-original-text="Covid 19 RT PCR Test - Self Pay (e.g. travel, non-US residents) - Pay On-Site">Covid 19 RT PCR Test - Self Pay (e.g. travel, non-US residents) - Pay On-Site</span>
          </label>
          <div class="duration-container">
            <span class="duration babel-ignore" data-original-text="10 minutes">10 minutes</span>
            <span class="at-desc" data-original-text="@">@</span>
            <span class="price">
              <span data-original-text="
						$125.00
					"> $125.00 </span>
            </span>
          </div>
          <div class="clearfix"></div>
        </div>
        <div class="clearfix"></div>
      </div>
      <div class="select select-calendar" style="display:none">
        <span class="reopen-dropdown fa fa-chevron-down"></span>
        <div class="select-label" data-original-text="With...">With...</div>
        <div id="select-calendar-options">
          <!-- dynamic -->
        </div>
      </div>
      <div class="choose-date-time" style="display:none" role="radiogroup" aria-labelledby="dates-and-times">
        <div id="selected-times-container" style="display: none;">
          <a name="selectedTimes"></a>
          <a href="#" class="btn btn-primary btn-next-step-top btn-next-step" style="display:none" data-original-text="Continue »">Continue »</a>
          <div id="selected-times"></div>
          <a href="#" class="btn btn-primary btn-next-step" data-original-text="Continue »">Continue »</a>
        </div>
        <div class="choose-date choose-date-times" id="dates-and-times" data-original-text=" 			Loading...
		"> Loading... </div>
        <div class="choose-time-actions" style="display:none">
          <ul>
            <li>
              <a href="#" class="btn btn-primary btn-block btn-next-step" data-qa="continue-button" data-original-text="Continue »">Continue »</a>
            </li>
            <li>
              <a href="#selectedTimes" class="btn btn-default btn-block btn-additional" data-qa="additional-time-button" data-original-text="Add a Time...">Add a Time...</a>
            </li>
            <li>
              <a href="#" class="btn btn-default btn-block btn-recurring" data-qa="recurring-time-button" data-original-text="Recurring...">Recurring...</a>
            </li>
          </ul>
        </div>
        <div class="clearfix"></div>
      </div>
    </div>
    <div class="pane-collapsed" style="display:none">
      <a href="#" class="change-pick-appointment" aria-expanded="true" aria-label="Change Appointment Type or Time"><i class="fa fa-chevron-down"></i></a>
      <div class="pane appt-summary-pane">
        <div id="forms-appt-summary" class="babel-ignore"></div>
      </div>
    </div>
  </div>
  <div class="step-pane" id="step-forms-pane" data-step="forms">
    <h2 class="step-title">
      <span class="step-number" data-original-text="2">2</span><span class="-b-fake-parent" data-original-text="
		Your Information
	"> Your Information </span>
    </h2>
    <div class="pane-content" data-qa="step-your-info" id="step-forms" style="display:none">
      <div class="form-group required-field is-focused">
        <label for="first-name" class="control-label hide-if-no-placeholder"><span class="-b-fake-parent" data-original-text="Name ">Name </span><span class="error" data-original-text="*">*</span> <span class="show-on-error"
            data-original-text="(required)">(required)</span></label>
        <div>
          <span class="hide-if-placeholder"><span class="-b-fake-parent" data-original-text="First Name ">First Name </span><span class="error" data-original-text="*">*</span></span>
          <input type="text" class="form-control" name="firstName" id="first-name" value="" placeholder="First Name" autocomplete="given-name" data-qa="first-name-input" data-original-text="First Name">
          <span class="hide-if-placeholder"><span class="-b-fake-parent" data-original-text="Last Name ">Last Name </span><span class="error" data-original-text="*">*</span></span>
          <input type="text" class="form-control" name="lastName" id="last-name" value="" placeholder="Last Name" autocomplete="family-name" data-qa="last-name-input" data-original-text="Last Name">
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      </div>
      <div class="form-group required-field">
        <label for="phone" class="control-label"><span class="-b-fake-parent" data-original-text="Phone ">Phone </span><span class="error" data-original-text="*">*</span> <span class="show-on-error"
            data-original-text="(required)">(required)</span></label>
        <input type="text" class="form-control" name="phone" id="phone" value="" autocomplete="tel" data-qa="phone-input">
        <p class="small babel-ignore hidden" id="sms-notice" data-original-text="You will receive a text message reminder before your appointment">You will receive a text message reminder before your appointment</p>
      </div>
      <div class="form-group required-field">
        <label for="email" class="control-label"><span class="-b-fake-parent" data-original-text="Email ">Email </span><span class="error" data-original-text="*">*</span> <span class="show-on-error"
            data-original-text="(required)">(required)</span></label>
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        <div class="help-block" id="email-error-help" style="display:none"><span class="-b-fake-parent" data-original-text="Your email address is invalid">Your email address is invalid</span><span id="email-error-domain"
            data-original-text=". Did you type the domain correctly?">. Did you type the domain correctly?</span></div>
      </div>
      <div class="pane" id="custom-forms"></div>
    </div>
    <div class="pane-collapsed" style="display:none">
    </div>
  </div>
</form>

Text Content

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COVID-19 RT-PCR TESTING

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1 CHOOSE APPOINTMENT


Quantity:
Covid 19 RT PCR Test - Insured
10 minutes
Please note that most insurances require testing be medically necessary (e.g.
exposed to COVID-19, symptomatic, or doctor's prescription/referral) for
coverage. Due to the CARES Act, all medically necessary testing is covered 100%
and there is no out-of-pocket charge.

Covid 19 RT PCR Test - Self Pay (e.g. travel, non-US residents)
10 minutes @ $125.00

Covid 19 RT PCR Test - Uninsured (Only available for those with no insurance
coverage)
10 minutes

Covid 19 RT PCR Test - Self Pay (e.g. travel, non-US residents)
10 minutes @ $140.00
We accept all insurance, if testing is medically necessary. Please note, most
insurances have a policy stating that they will not cover the cost of testing
for travel but will cover medically necessary testing, such as if you have
symptoms or are exposed to COVID-19. Example below:
United Healthcare:
https://www.uhc.com/health-and-wellness/health-topics/covid-19/coverage-and-resources

Covid 19 RT PCR Test - Self Pay (e.g. travel, non-US residents)
10 minutes @ $150.00
We accept all insurance, if testing is medically necessary. Please note, most
insurances have a policy stating that they will not cover the cost of testing
for travel but will cover medically necessary testing, such as if you have
symptoms or are exposed to COVID-19. Example below:
United Healthcare:
https://www.uhc.com/health-and-wellness/health-topics/covid-19/coverage-and-resources

Covid 19 RT PCR Test - Self Pay (e.g. travel, non-US residents) - Pay On-Site
10 minutes @ $125.00


With...

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 * Continue »
 * Add a Time...
 * Recurring...





2 YOUR INFORMATION

Name * (required)
First Name * Last Name *
Phone * (required)

You will receive a text message reminder before your appointment

Email * (required)
Your email address is invalid. Did you type the domain correctly?





3 CONFIRMATION

covid19genophyll.as.me Open in urlscan Pro 44.226.210.124 Public Scan

Form analysis 1 forms found in the DOM

Text Content

covid19genophyll.as.me Open in urlscan Pro
44.226.210.124 Public Scan

Form analysis
1 forms found in the DOM