minuteful.precision.co.uk Open in urlscan Pro
95.154.235.124  Public Scan

Form analysis
1 forms found in the DOM

POST /

<form action="/" method="post">
  <div>
    <div>
      <label for="NHS">NHS Number</label>
      <input autocomplete="off" placeholder="999 999 9999" type="text" name="cf-NHS" id="NHS" pattern="^\d{3}\s\d{3}\s\d{4}$" value="" title="Please use the following format: 999 999 9999"
        oninvalid="setCustomValidity('Please use the following format: 999 999 9999')" oninput="setCustomValidity('')" required="">
    </div>
    <div>
      <label for="telephone">Mobile Number</label>
      <input autocomplete="off" placeholder="99999 999999" type="text" name="cf-telephone" id="telephone" pattern="^(?:\+44|0)7(?:[45789]\d{2}|624)\s?\d{3}\s?\d{3}$" value="" title=""
        oninvalid="setCustomValidity('Please enter a valid mobile phone number')" oninput="setCustomValidity('')" required="">
    </div>
  </div>
  <input type="hidden" id="contact_form_nonce" name="contact_form_nonce" value="6dfea2f377"><input type="hidden" name="_wp_http_referer" value="/"> <button type="submit" name="cf-submit" class="minful-form-submit"> Submit </button>
</form>

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NHS Number
Mobile Number
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