livechat.val.myalcon.com Open in urlscan Pro
2606:4700::6812:896f Public Scan

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URL:
https://livechat.val.myalcon.com/
Submission: On June 12 via api (June 12th 2024, 7:35:35 pm UTC) from US — Scanned from DE

Form analysis
1 forms found in the DOM

POST /

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  data-once="form-updated webform-submit-once webform-details-toggle" data-drupal-form-fields="edit-first-name,edit-last-name,edit-email,edit-main-specialty,edit-country,edit-city,edit-name-of-clinic-or-company,edit-consent,edit-submit">
  <div class="webform-required">
    <span class="form-required"></span>Indicates required field
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    <input data-webform-required-error="This field is required." data-drupal-selector="edit-first-name" type="text" id="edit-first-name" name="first_name" value="" size="60" maxlength="255" class="form-text required" required="required"
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  </div>
  <div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-last-name form-item-last-name">
    <label for="edit-last-name" class="js-form-required form-required">Last Name</label>
    <input data-webform-required-error="This field is required." data-drupal-selector="edit-last-name" type="text" id="edit-last-name" name="last_name" value="" size="60" maxlength="255" class="form-text required" required="required"
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  </div>
  <div class="js-form-item form-item js-form-type-email form-type-email js-form-item-email form-item-email">
    <label for="edit-email" class="js-form-required form-required">Email</label>
    <input data-webform-required-error="This field is required." data-drupal-selector="edit-email" type="email" id="edit-email" name="email" value="" size="60" maxlength="254" class="form-email required" required="required" aria-required="true"
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  </div>
  <div class="js-form-item form-item js-form-type-select form-type-select js-form-item-main-specialty form-item-main-specialty">
    <label for="edit-main-specialty">Main Specialty</label>
    <select data-drupal-selector="edit-main-specialty" id="edit-main-specialty" name="main_specialty" class="form-select">
      <option value="Select a speciality">Select a speciality</option>
    </select>
  </div>
  <div class="js-form-item form-item js-form-type-select form-type-select js-form-item-country form-item-country">
    <label for="edit-country">Country</label>
    <select data-drupal-selector="edit-country" id="edit-country" name="country" class="form-select">
      <option value="" selected="selected">- None -</option>
      <option value="431">India</option>
      <option value="441">United Kingdom</option>
      <option value="436">United States</option>
    </select>
  </div>
  <div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-city form-item-city">
    <label for="edit-city">City</label>
    <input data-drupal-selector="edit-city" type="text" id="edit-city" name="city" value="" size="60" maxlength="255" class="form-text">
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  <div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-name-of-clinic-or-company form-item-name-of-clinic-or-company">
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  </div>
  <div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-consent form-item-consent form-no-label">
    <label for="edit-consent" class="visually-hidden">Consent</label>
    <input data-drupal-selector="edit-consent" aria-describedby="edit-consent--description" type="checkbox" id="edit-consent" name="consent" value="1" class="form-checkbox">
    <p class="description">
    </p>
    <div id="edit-consent--description" class="webform-element-description">By accepting through ticking the box, you consent to join our mailing list to receive information and news from Alcon on promotional and product Information, events and
      trainings, the Alcon Newsletter(s) and the Alcon Experience Academy. You can opt out of receiving these messages from Alcon at any time through clicking on the unsubscribe link included in emails. If you would like more information on Alcon and
      our approach to privacy please see our privacy policy,&nbsp;<a href="https://www.google.com" target="_blank">here</a>.*</div>
    <p></p>
  </div>
  <input data-drupal-selector="edit-source-url" type="hidden" name="source_url" value="">
  <input data-drupal-selector="edit-gated-content-form" type="hidden" name="gated_content_form" value="">
  <input data-drupal-selector="edit-salesforce-campaign" type="hidden" name="salesforce_campaign" value="">
  <input data-drupal-selector="edit-salesforce-campaign-id" type="hidden" name="salesforce_campaign_id" value="">
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  <input data-drupal-selector="edit-webform-submission-gated-content-form-standard-node-1276-add-form" type="hidden" name="form_id" value="webform_submission_gated_content_form_standard_node_1276_add_form">
  <div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions"><input class="webform-button--submit button button--primary js-form-submit form-submit" data-drupal-selector="edit-submit" type="submit"
      id="edit-submit" name="op" value="Submit">
  </div>
</form>

Text Content

LOGIN WITH YOUR


MYALCON ID

EXISTING EYEFILE USER? We recently rebranded to MyAlcon. Please re-register
using the form here.



Don’t have an account yet?

SIGN UP HERE

Hi John Smith

john.doe@mail.com

Account information Reset password Preference Center
Log out
MYALCON FOR PROFESSIONALS




GET IN TOUCH WITH US

 

Indicates required field
First Name
Last Name
Email
Main Specialty Select a speciality
Country - None -IndiaUnited KingdomUnited States
City
Name of clinic or company
Consent



By accepting through ticking the box, you consent to join our mailing list to
receive information and news from Alcon on promotional and product Information,
events and trainings, the Alcon Newsletter(s) and the Alcon Experience Academy.
You can opt out of receiving these messages from Alcon at any time through
clicking on the unsubscribe link included in emails. If you would like more
information on Alcon and our approach to privacy please see our privacy
policy, here.*




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LEVEL 1

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MyAlcon for Professionals
Welcome John Smith

john.doe@mail.com

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LEVEL 1

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 * Products



MyAlcon for Professionals

My Alcon | Language

This page is available in English....

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WELCOME TO ALCON
PRODUCT SUPPORT


CONTACT US

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chat. Please call your regional product support team for assistance.
(Product Telephone Support Link)

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livechat.val.myalcon.com Open in urlscan Pro 2606:4700::6812:896f Public Scan

Form analysis 1 forms found in the DOM

POST /

Text Content

livechat.val.myalcon.com Open in urlscan Pro
2606:4700::6812:896f Public Scan

Form analysis
1 forms found in the DOM