www.savannahclinic.com
Open in
urlscan Pro
18.235.135.157
Public Scan
Submitted URL: https://savannahclinic.com/
Effective URL: https://www.savannahclinic.com/
Submission: On November 11 via api from BE — Scanned from DE
Effective URL: https://www.savannahclinic.com/
Submission: On November 11 via api from BE — Scanned from DE
Form analysis
1 forms found in the DOM<form id="form_467084" class="fb-form fb-form--outside-label-style fb-use-jquery-ui-datepicker fb-two-col-mode fb-intro-complete" novalidate="" data-form-guid="AB59B11A-EA9F-7D7B-D02F21D592368114" data-form-timestamp="{ts '2022-01-01 11:30:31'}"
data-role="none" data-ajax="false" data-data-version-key="2022-01-01-11-30-31"
data-form-data="{"submitTxt":"Send","formTitle":"Patient Contact Form","rows":[{"cols":[{"data":{"isRequired":false,"title":"Welcome to our Online Contact Form!&nbsp;&nbsp;Fill out your information and one of our awesome Savannah Team Members will message you back within the business day! Please note all inquiries past 5pm will become priority the next business day AM.&nbsp;&nbsp;We look forward to seeing you!","instanceId":7,"linkedFrom":[]},"id":4}]},{"cols":[{"data":{"isRequired":true,"lastName":"Last Name","firstName":"First Name","instanceId":1,"linkedFrom":[]},"id":17}]},{"cols":[{"data":{"isRequired":true,"title":"Email","instanceId":2,"linkedFrom":[]},"id":18},{"data":{"isRequired":true,"formatId":0,"title":"Phone","instanceId":3,"linkedFrom":[]},"id":19}]},{"cols":[{"data":{"isRequired":false,"title":"Message","instanceId":4,"linkedFrom":[]},"id":3}]}],"instanceCounter":10}">
<div class="fb-form-input-container">
<div class="fb-row fb-clearfix fb-no-siblings">
<div class="fb-col fb-col-1x fb-text-type fb-generic-template ui-front" data-field-id="4" data-instance-id="7">
<div id="fieldContainer-0-0" class="fb-field-container">
<span>Welcome to our Online Contact Form! Fill out your information and one of our awesome Savannah Team Members will message you back within the business day! Please note all inquiries past 5pm will become priority the next
business day AM. We look forward to seeing you!</span>
</div>
</div>
</div>
<div class="fb-row fb-clearfix fb-no-siblings">
<div class="fb-col fb-col-1x fb-fullname-type fb-fullname-template ui-front" data-field-id="17" data-instance-id="1">
<div id="fieldContainer-1-0" class="fb-field-container">
<div class="fb-nested-row fb-clearfix">
<div class="fb-nested-col fb-nested-col-2x">
<div class="fb-nested-field-container">
<div class="
fb-field-title
fb-is-required
">
<label for="fullname-1-0-firstname">First Name</label>
</div>
<div class="fb-field-input-wrapper">
<input id="fullname-1-0-firstname" class="fb-field-input" type="text" name="fullname-1-0-firstname" value="" maxlength="50" pattern="/^[^\^~\\><\|"]+$/g"
data-parsley-pattern-message="The following characters are not allowed: ^ ~ \ < > | "" data-parsley-required="" data-role="none" data-parsley-id="4">
</div>
</div>
</div>
<div class="fb-nested-col fb-nested-col-2x">
<div class="fb-nested-field-container">
<div class="
fb-field-title
fb-is-required
">
<label for="fullname-1-0-lastname">Last Name</label>
</div>
<div class="fb-field-input-wrapper">
<input id="fullname-1-0-lastname" class="fb-field-input" type="text" name="fullname-1-0-lastname" value="" maxlength="50" pattern="/^[^\^~\\><\|"]+$/g"
data-parsley-pattern-message="The following characters are not allowed: ^ ~ \ < > | "" data-parsley-required="" data-role="none" data-parsley-id="6">
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="fb-row fb-clearfix fb-siblings">
<div class="fb-col fb-col-2x fb-email-type fb-textbox-template ui-front" data-field-id="18" data-instance-id="2">
<div id="fieldContainer-2-0" class="fb-field-container">
<div class="
fb-field-title
fb-is-required
">
<label for="email-2-0">Email</label>
</div>
<div class="fb-field-input-wrapper">
<input id="email-2-0" class="fb-field-input" name="email-2-0" maxlength="250" data-parsley-required="" value="" data-parsley-type-message="Please enter a valid email." type="email" data-role="none" data-parsley-id="8">
</div>
</div>
</div>
<div class="fb-col fb-col-2x fb-phone-type fb-textbox-template ui-front" data-field-id="19" data-instance-id="3">
<div id="fieldContainer-2-1" class="fb-field-container">
<div class="
fb-field-title
fb-is-required
">
<label for="phone-2-1">Phone</label>
</div>
<div class="fb-field-input-wrapper">
<input id="phone-2-1" class="fb-field-input" name="phone-2-1" maxlength="50" data-parsley-required="" value="" type="text" pattern="/^[\d-\(\)+\s]+$/" data-parsley-pattern-message="Only the following characters are valid:<br>0-9 - ( ) +"
data-role="none" data-parsley-id="10">
</div>
</div>
</div>
</div>
<div class="fb-row fb-clearfix fb-no-siblings">
<div class="fb-col fb-col-1x fb-textarea-type fb-textbox-template ui-front" data-field-id="3" data-instance-id="4">
<div id="fieldContainer-3-0" class="fb-field-container">
<div class="
fb-field-title
">
<label for="textarea-3-0">Message</label>
</div>
<div class="fb-field-input-wrapper">
<textarea id="textarea-3-0" class="fb-field-input" pattern="/^[^\^~\\><\|"]+$/g" data-parsley-pattern-message="The following characters are not allowed: ^ ~ \ < > | "" name="textarea-3-0" maxlength="20000" data-role="none"
data-parsley-id="12"></textarea>
</div>
</div>
</div>
</div>
<div class="fb-row fb-clearfix fb-no-siblings">
<div class="fb-col fb-col-1x fb-recaptcha-type fb-recaptcha-template ui-front" data-field-id="34">
<div id="fieldContainer-4-0" class="fb-field-container">
<style>
.g-recaptcha {
visibility: hidden;
}
</style>
<div class=" g-recaptcha" data-sitekey="6LeTW88ZAAAAAJmebTusGvR_0yN1bLCe8bJ24Du2" data-size="invisible">
<div class="grecaptcha-badge" data-style="bottomright"
style="width: 256px; height: 60px; display: block; transition: right 0.3s; position: fixed; bottom: 14px; right: -186px; box-shadow: gray 0px 0px 5px; border-radius: 2px; overflow: hidden;">
<div class="grecaptcha-logo"><iframe title="reCAPTCHA" width="256" height="60" role="presentation" name="a-gozjxpqt8ea0" 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&k=6LeTW88ZAAAAAJmebTusGvR_0yN1bLCe8bJ24Du2&co=aHR0cHM6Ly93d3cuc2F2YW5uYWhjbGluaWMuY29tOjQ0Mw..&hl=en&v=-ZG7BC9TxCVEbzIO2m429usb&size=invisible&cb=phbgvwk7pcen"></iframe>
</div>
<div class="grecaptcha-error"></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>
<span> This site is protected by reCAPTCHA and the Google <a href="https://policies.google.com/privacy" target="_blank">Privacy Policy</a> and <a href="https://policies.google.com/terms" target="_blank">Terms of Service</a> apply. </span>
</div>
</div>
</div>
</div>
<div class="fb-submit-btn-container">
<input class="fb-btn fb-submit-btn" name="submit-btn" type="submit" value="Send">
</div>
<div class="fb-submission-container">
<h1 class="fb-submission-header">Thank you for contacting us!</h1>
<div class="fb-submission-msg">
<p>We have received your form and will contact you shortly.</p>
</div>
<div class="fb-submission-btns">
<a class="fb-btn fb-submission-btn fb-submission-payment-receipt-btn" href="" target="_blank"></a>
<a class="fb-btn fb-submission-btn fb-submission-document-view-btn" href="" target="_blank">View Submission</a>
</div>
</div>
<script defer="" src="/cfformprotect/js/cffp.js"></script>
<input id="fp15D1CCF2-9DE2-4A55-B721FF3EBA837D99" type="hidden" name="formfield1234567891" class="cffp_mm" value="" autocomplete="off">
<input id="fp67FBFF1E-0861-4F83-81E4CFBFFD87F096" type="hidden" name="formfield1234567892" class="cffp_kp" value="" autocomplete="off">
<input id="fpA32B8332-8992-4A7D-AC85E8B3516701AF" type="hidden" name="formfield1234567893" value="39981316,19942863" autocomplete="off">
<span style="display:none">Leave this field empty <input id="fpFED4CE69-134D-4CF8-9CCC511B5F87C962" type="text" name="formfield1234567894" value="" autocomplete="off" data-parsley-id="14"></span>
</form>
Text Content
Directions Email Call Us * HOME * ABOUT US * OUR SERVICES * SPECIALTY CLINICS * Diabetic Clinic * Weight Loss Clinic * FOR THE PATIENT * Office Hours * Patient Resources * INSURANCE * CONTACT US MENU WHEN YOU NEED CARE RIGHT NOW Walk In's Are Welcome Book Appointment Now NEWS & UPDATES W ARE PROVIDING TELE-MEDICINE APPOINTMENTS WITH THE DOCTOR FOR SELECTED HIGH-RISK PATIENTS. CALL US FOR SCHEDULING YOUR TELE-MEDICINE APPOINTMENT. TELEPHONE DOCTOR APPOINTMENTS WILL BE CHARGED PER YOUR INSURANCE AND/OR MEDICARE AS REQUIRED. COPAYS WILL APPLY AND BE CHARGED THE SAME DAY. IF YOU ARE FEELING ILL, RUNNING A FEVER OR HAVE FLU-LIKE SYMPTOMS, PLEASE CALL US FOR YOUR SCHEDULING APPOINTMENT OPTIONS. PLEASE DON’T HESITATE TO CONTACT US IF YOU HAVE ANY QUESTIONS. THE SAVANNAH CLINIC TEAM CONCIERGE NEW PATIENT REGISTRATION Appointments • Labs • X-rays • Blood Results Registration Form Here OUR PROVIDED SERVICES WELL VISITS SICK VISITS WELL-WOMAN VISIT ON-SITE LAB TESTING ANNUAL PHYSICAL EXAMS | SPORTS AND SCHOOL ASTHMA FOR MEN | T-THERAPY SLEEP APNEA TREATING YOUR FAMILY LIKE OUR FAMILY Serving the Little Elm • Aubrey • Frisco and Surrounding Areas Book Appointment Now OUR SPECIALITY CLINICS WEIGHT LOSS CLINIC DIABETIC CLINIC ANXIETY AND DEPRESSION THANK YOU FOR CONTACTING US! We have received your form and will contact you shortly. View Receipt View Submission Welcome to our Online Contact Form! Fill out your information and one of our awesome Savannah Team Members will message you back within the business day! Please note all inquiries past 5pm will become priority the next business day AM. We look forward to seeing you! First Name Last Name Email Phone Message This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. THANK YOU FOR CONTACTING US! We have received your form and will contact you shortly. View Submission Leave this field empty SAVANNAH CLINIC ASSOCIATES 26795 US-380, STE 100 AUBREY TX, 76227 PHONE: 972-347-5761 FAX: 972-347-5786 EMAIL: SAVANNAHCLINIC380@GMAIL.COM Get Directions Here ABOUT US Insurance Meet The Doctors! Contact Form Hours of Operation OUR SERVICES Well/Sick Visits Weight Loss Clinic Blood Work Labs Diabetic Clinic FOR THE PATIENT Patient Forms Patient Portal Patient Resources Privacy Policy CONTACT US Call Us Directions Here Email Fax Number 2023 Copyright All Rights Reserved Private Policy / Terms Of Use Marketing & Consultant Agency CLOSE * HOME * ABOUT US * OUR SERVICES * SPECIALTY CLINICS * Diabetic Clinic * Weight Loss Clinic * FOR THE PATIENT * Office Hours * Patient Resources * INSURANCE * CONTACT US Directions Email Call Us