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www.startemmi.com Open in urlscan Pro
20.88.233.96  Public Scan

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Submitted URL: https://www.startemmi.com/startemmi?access_code=13958605886&nid=105141699&appLocale=en_US
Effective URL: https://www.startemmi.com/startemmi2/?access_code=13958605886&nid=105141699&appLocale=en_US
Submission: On August 20 via manual from US — Scanned from US

Form analysis 1 forms found in the DOM

Name: LoginForm — 

<form id="LoginForm" name="LoginForm" class="Login__form undefined" novalidate="">
  <div class="Login__form-inputs">
    <div class="Login__form-group" data-test="LoginForm-AccessCodeField"><label for="AccessCodeField">Access Code</label><input type="number" class="Login__form-control" id="AccessCodeField" name="accessCode" pattern="\d*" maxlength="11" value="">
    </div>
    <div class="Login__form-group" data-test="LoginForm-DOBField"><label for="DOBField">Patient's Date of Birth</label><input type="text" pattern="[0-9]*" class="Login__form-control" id="DOBField" name="dob" placeholder="mm/dd/yyyy" maxlength="10"
        inputmode="numeric" aria-invalid="false" value=""></div>
    <div class="Login__form-group EmailFieldWrapper" data-test="LoginForm-EmailField" aria-hidden="true"><label for="EmailField">Email</label><input type="text" id="EmailField" class="Login__email-control" tabindex="-1" value=""></div>
  </div>
  <div class="Login__form-action" data-test="LoginForm-LoginButton"><button class="Button Button--blue" type="submit"><span class="Button__text"><span class="Button-text">Log In</span></span></button></div><input type="hidden" name="sso"
    value=""><input type="hidden" name="skey" value=""><input type="hidden" name="selectedLocale" value="">
</form>

Text Content

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