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patients.hcml.co.uk Open in urlscan Pro
20.33.34.34  Public Scan

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Submitted URL: https://u43239456.ct.sendgrid.net/ls/click?upn=u001.BQjAq4VJM67Luk6Ow0y7ihQ-2FjSdrVA-2BXFVGAzHHcYPUrverHVopkfQucvVnzVoIyQijAmkCHdN...
Effective URL: https://patients.hcml.co.uk/patientpreference/authorize/zTSren-9xxB0rN1VZCq3kg2
Submission: On April 11 via manual from IN — Scanned from DE

Form analysis 1 forms found in the DOM

<form novalidate="" class="ng-untouched ng-pristine ng-invalid">
  <div class="form-group"><input type="text" placeholder="Postcode" formcontrolname="postCode" class="form-control ng-untouched ng-pristine ng-invalid"><control-messages><!----></control-messages></div>
  <div class="form-group"><kendo-datepicker placeholder="Date of Birth" formcontrolname="dateOfBirth" class="date-picker k-datepicker k-input ng-untouched ng-pristine ng-invalid k-input-md k-rounded-md k-input-solid"><!----><kendo-dateinput
        fillmode="none" rounded="none" size="none" class="k-input k-dateinput"><!----><input autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="k-input-inner" placeholder="Date of Birth"
          id="k-1ff301ad-ade4-488a-9753-12760848595b" title="" tabindex="0" role="spinbutton" aria-readonly="false" aria-expanded="false" aria-haspopup="true"><!----></kendo-dateinput><button type="button"
        class="k-input-button k-button k-icon-button k-button-md k-button-solid k-button-solid-base" tabindex="-1" title="Toggle calendar" aria-label="Toggle calendar"><span
          class="k-button-icon k-icon k-i-calendar"></span></button><!----><!----></kendo-datepicker><control-messages><!----></control-messages></div>
  <div class="form-group"><ngx-recaptcha2 formcontrolname="captchaToken" class="ng-untouched ng-pristine ng-invalid">
      <div>
        <div id="ngx_captcha_id_7994">
          <div style="width: 304px; height: 78px;">
            <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-1nowad9m1tve" frameborder="0" scrolling="no"
                sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
                src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6LdStLMUAAAAAHJRy4DOlWPG1GV8d1HYe9rUdbPm&amp;co=aHR0cHM6Ly9wYXRpZW50cy5oY21sLmNvLnVrOjQ0Mw..&amp;hl=de&amp;type=image&amp;v=rz4DvU-cY2JYCwHSTck0_qm-&amp;theme=light&amp;size=normal&amp;cb=6qg10f6v0pkg"></iframe>
            </div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
              style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
          </div><iframe style="display: none;"></iframe>
        </div>
      </div>
    </ngx-recaptcha2></div><!----><button type="button" class="btn btn-sm btn-outline-success w-100 btn-outline-danger btn-outline-warning" disabled="">Continue </button>
</form>

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