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secured.phoenixchildrens.com Open in urlscan Pro
74.115.70.170  Public Scan

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Submitted URL: https://pch.care/ToDos/?M=5845633&K=5182395
Effective URL: https://secured.phoenixchildrens.com/MyVisit/Apps/ToDos/SP/Login.aspx?M=5845633&K=5182395
Submission: On March 24 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST ./Login.aspx?M=5845633&K=5182395

<form method="post" action="./Login.aspx?M=5845633&amp;K=5182395" id="form1">
  <div class="aspNetHidden">
    <input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="">
    <input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="">
    <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
      value="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">
  </div>
  <script type="text/javascript">
    //<![CDATA[
    var theForm = document.forms['form1'];
    if (!theForm) {
      theForm = document.form1;
    }

    function __doPostBack(eventTarget, eventArgument) {
      if (!theForm.onsubmit || (theForm.onsubmit() != false)) {
        theForm.__EVENTTARGET.value = eventTarget;
        theForm.__EVENTARGUMENT.value = eventArgument;
        theForm.submit();
      }
    }
    //]]>
  </script>
  <div class="aspNetHidden">
    <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="C5AF851C">
    <input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION"
      value="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">
  </div>
  <div style="background: #F91E26;" class="pt-2 pb-2">
    <div class="container">
      <div style="float: right; line-height: 72px">
      </div>
      <div class="row">
        <div class="col-sm-6">
          <img src="../../../Assets/images/WhiteLogo.png" id="ImgHeader" style="height:77px">
        </div>
        <div class="col-sm-6" style="text-align: right;">
          <h2 style="text-align: right; color: #FFF; line-height: 72px" class="d-none d-sm-block"> Patient To-Dos </h2>
          <h3 style="text-align: left; color: #FFF; line-height: 40px" class="d-sm-none d-block"> Patient To-Dos </h3>
        </div>
      </div>
    </div>
  </div>
  <div style="background: #DDD;" class="pt-1 pb-1 mb-3">
    <div class="container">
      <div class="row">
        <div class="col-12">
          <a id="LbLanguage_SwitchToEnglish" href="javascript:__doPostBack('ctl00$LbLanguage_SwitchToEnglish','')" style="text-decoration: underline; color: #333; font-weight: bold; font-size: 14px;">Switch to English</a>
        </div>
      </div>
    </div>
  </div>
  <div class="container">
    <div class="row">
      <div class="col-12">
        <h2> Verificación del paciente</h2>
        <p> Confirme abajo el nombre y la fecha de nacimiento del paciente para poder continuar: </p>
        <h4> Verifique el primer nombre del paciente: </h4>
        <div class="btn-group-vertical btn-group-toggle" data-toggle="buttons">
          <label class="btn btn-outline-primary">
            <input id="ContentPlaceHolder1_RbName1" type="radio" name="ctl00$ContentPlaceHolder1$Names" value="RbName1"><label for="ContentPlaceHolder1_RbName1">ANGEL</label>
          </label>
          <label class="btn btn-outline-primary">
            <input id="ContentPlaceHolder1_RbName2" type="radio" name="ctl00$ContentPlaceHolder1$Names" value="RbName2"><label for="ContentPlaceHolder1_RbName2">EDUARDO</label>
          </label>
          <label class="btn btn-outline-primary">
            <input id="ContentPlaceHolder1_RbName3" type="radio" name="ctl00$ContentPlaceHolder1$Names" value="RbName3"><label for="ContentPlaceHolder1_RbName3">JONATHAN</label>
          </label>
          <label class="btn btn-outline-primary">
            <input id="ContentPlaceHolder1_RbName4" type="radio" name="ctl00$ContentPlaceHolder1$Names" value="RbName4"><label for="ContentPlaceHolder1_RbName4">NATHANIEL</label>
          </label>
          <label class="btn btn-outline-primary">
            <input id="ContentPlaceHolder1_RbName5" type="radio" name="ctl00$ContentPlaceHolder1$Names" value="RbName5"><label for="ContentPlaceHolder1_RbName5">ZACHARY</label>
          </label>
        </div>
        <br>
        <br>
        <div id="ContentPlaceHolder1_PnlMonths">
          <h4> Verifique el mes de nacimiento del paciente: </h4>
          <div class="btn-group btn-group-toggle flex-wrap" data-toggle="buttons">
            <label class="btn btn-outline-primary">
              <input id="ContentPlaceHolder1_RbMonth1" type="radio" name="ctl00$ContentPlaceHolder1$Months" value="RbMonth1"><label for="ContentPlaceHolder1_RbMonth1">Ene</label>
            </label>
            <label class="btn btn-outline-primary">
              <input id="ContentPlaceHolder1_RbMonth2" type="radio" name="ctl00$ContentPlaceHolder1$Months" value="RbMonth2"><label for="ContentPlaceHolder1_RbMonth2">Feb</label>
            </label>
            <label class="btn btn-outline-primary">
              <input id="ContentPlaceHolder1_RbMonth3" type="radio" name="ctl00$ContentPlaceHolder1$Months" value="RbMonth3"><label for="ContentPlaceHolder1_RbMonth3">Mar</label>
            </label>
            <label class="btn btn-outline-primary">
              <input id="ContentPlaceHolder1_RbMonth4" type="radio" name="ctl00$ContentPlaceHolder1$Months" value="RbMonth4"><label for="ContentPlaceHolder1_RbMonth4">Abr</label>
            </label>
            <label class="btn btn-outline-primary">
              <input id="ContentPlaceHolder1_RbMonth5" type="radio" name="ctl00$ContentPlaceHolder1$Months" value="RbMonth5"><label for="ContentPlaceHolder1_RbMonth5">May</label>
            </label>
            <label class="btn btn-outline-primary">
              <input id="ContentPlaceHolder1_RbMonth6" type="radio" name="ctl00$ContentPlaceHolder1$Months" value="RbMonth6"><label for="ContentPlaceHolder1_RbMonth6">Jun</label>
            </label>
            <label class="btn btn-outline-primary">
              <input id="ContentPlaceHolder1_RbMonth7" type="radio" name="ctl00$ContentPlaceHolder1$Months" value="RbMonth7"><label for="ContentPlaceHolder1_RbMonth7">Jul</label>
            </label>
            <label class="btn btn-outline-primary">
              <input id="ContentPlaceHolder1_RbMonth8" type="radio" name="ctl00$ContentPlaceHolder1$Months" value="RbMonth8"><label for="ContentPlaceHolder1_RbMonth8">Ago</label>
            </label>
            <label class="btn btn-outline-primary">
              <input id="ContentPlaceHolder1_RbMonth9" type="radio" name="ctl00$ContentPlaceHolder1$Months" value="RbMonth9"><label for="ContentPlaceHolder1_RbMonth9">Sep</label>
            </label>
            <label class="btn btn-outline-primary">
              <input id="ContentPlaceHolder1_RbMonth10" type="radio" name="ctl00$ContentPlaceHolder1$Months" value="RbMonth10"><label for="ContentPlaceHolder1_RbMonth10">Oct</label>
            </label>
            <label class="btn btn-outline-primary">
              <input id="ContentPlaceHolder1_RbMonth11" type="radio" name="ctl00$ContentPlaceHolder1$Months" value="RbMonth11"><label for="ContentPlaceHolder1_RbMonth11">Nov</label>
            </label>
            <label class="btn btn-outline-primary">
              <input id="ContentPlaceHolder1_RbMonth12" type="radio" name="ctl00$ContentPlaceHolder1$Months" value="RbMonth12"><label for="ContentPlaceHolder1_RbMonth12">Dic</label>
            </label>
          </div>
        </div>
        <hr>
        <input type="button" name="ctl00$ContentPlaceHolder1$BtnVerify" value="Completado" onclick="javascript:__doPostBack('ctl00$ContentPlaceHolder1$BtnVerify','')" id="ContentPlaceHolder1_BtnVerify" class="btn btn-danger">
      </div>
    </div>
  </div>
  <span style="display: none;"></span>
  <div style="background: #DDD;" class="py-2 fixed-bottom">
    <div class="container">
      <div class="row">
        <div class="col-12 text-align-right">
          <a id="LbLogOut" class="btn btn-light btn-sm" href="javascript:__doPostBack('ctl00$LbLogOut','')" style="float: right">Log Out</a>
          <em style="display: block; line-height: 28px; font-size: 12px; color: #999">Running on PCHAPPS01</em>
        </div>
      </div>
    </div>
  </div>
</form>

Text Content

PATIENT TO-DOS


PATIENT TO-DOS

Switch to English


VERIFICACIÓN DEL PACIENTE

Confirme abajo el nombre y la fecha de nacimiento del paciente para poder
continuar:

VERIFIQUE EL PRIMER NOMBRE DEL PACIENTE:

ANGEL EDUARDO JONATHAN NATHANIEL ZACHARY



VERIFIQUE EL MES DE NACIMIENTO DEL PACIENTE:

Ene Feb Mar Abr May Jun Jul Ago Sep Oct Nov Dic

--------------------------------------------------------------------------------

Log Out Running on PCHAPPS01