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URL:
https://zaisowawa.shop/
Submission: On December 15 via api from US — Scanned from US
Submission: On December 15 via api from US — Scanned from US
Form analysis
1 forms found in the DOM<form id="contactForm" data-sb-form-api-token="API_TOKEN">
<!-- Name input-->
<div class="form-floating mb-3">
<input class="form-control" id="name" type="text" placeholder="Enter your name..." data-sb-validations="required">
<label for="name">Full name</label>
<div class="invalid-feedback" data-sb-feedback="name:required">A name is required.</div>
</div>
<!-- Email address input-->
<div class="form-floating mb-3">
<input class="form-control" id="email" type="email" placeholder="name@example.com" data-sb-validations="required,email">
<label for="email">Email address</label>
<div class="invalid-feedback" data-sb-feedback="email:required">An email is required.</div>
<div class="invalid-feedback" data-sb-feedback="email:email">Email is not valid.</div>
</div>
<!-- Phone number input-->
<div class="form-floating mb-3">
<input class="form-control" id="phone" type="tel" placeholder="(123) 456-7890" data-sb-validations="required">
<label for="phone">Phone number</label>
<div class="invalid-feedback" data-sb-feedback="phone:required">A phone number is required.</div>
</div>
<!-- Message input-->
<div class="form-floating mb-3">
<textarea class="form-control" id="message" type="text" placeholder="Enter your message here..." style="height: 10rem" data-sb-validations="required"></textarea>
<label for="message">Message</label>
<div class="invalid-feedback" data-sb-feedback="message:required">A message is required.</div>
</div>
<!-- Submit Button-->
<button class="btn btn-primary btn-xl disabled" id="submitButton" type="submit">Send</button>
</form>
Text Content
OptiMaleHealth Menu * Services * About * Contact OPTIMALEHEALTH Your Path to Urological Wellness PORTFOLIO ABOUT US OptiMaleHealth is a leading urological clinic dedicated to your well-being. We specialize in providing top-quality urology care to enhance your health and quality of life. Our team of experienced urologists is committed to your health and happiness. We offer state-of-the-art treatments and personalized care to address a wide range of urological conditions. CONTACT US Full name A name is required. Email address An email is required. Email is not valid. Phone number A phone number is required. Message A message is required. Send Copyright © OptiMaleHealth 2023 CONSULTATION AND DIAGNOSIS This includes examination, assessment, and diagnosis of various urological issues such as urinary tract infections, kidney stones, benign prostatic hyperplasia (BPH), and bladder cancer. Close Window KIDNEY STONE TREATMENT Providing medical and surgical interventions for the removal of kidney stones, including endoscopic and laparoscopic procedures. Close Window UROLOGICAL SURGERY Performing various urological surgical interventions, such as prostatectomy, cystectomy, and tumor resections. Close Window URINARY TRACT INFECTION (UTI) TREATMENT Offering therapy to combat urinary tract infections, including prescription of antibiotics and other medications. Close Window ERECTILE DYSFUNCTION (ED) TREATMENT Assisting men with erectile dysfunction issues, including medical treatments, surgical interventions, and lifestyle counseling. Close Window PROSTATE CANCER SCREENING AND PREVENTION Conducting screening tests and biopsies to detect and treat prostate cancer at early stages. Close Window