www.healthquality.va.gov Open in urlscan Pro
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3 forms found in the DOM

GET https://www.va.gov/search/

<form id="searchForm" method="GET" action="https://www.va.gov/search/">
  <!-- do not insert line breaks in the div tag below -->
  <div id="mainSearchForm"><label for="searchtxt" class="positionsearch">Enter your search text</label><input name="query" type="text" id="searchtxt" size="5" title="Enter your search text" value=""><input name="t" type="hidden" value="false"><label
      class="positionsearch" for="edit-submit">Button to start search</label><input id="edit-submit" class="form-submit" type="image" src="https://www.va.gov/va_files/2014/responsive/images/main-search-button.png"
      alt="Click here to submit your search" name="submit"></div>
</form>

Name: myform —

<form name="myform">
  <label for="iama">I AM A...</label>
  <div class="styled-select">
    <select name="mydropdown" class="dropdown" onchange="location.href=(form.mydropdown.options[form.mydropdown.selectedIndex].value)" id="iama">
      <option value="0">Select One</option>
      <option value="https://www.va.gov/opa/persona/index.asp">Veteran</option>
      <option value="https://www.va.gov/opa/persona/active_duty.asp">Active Duty Service Member </option>
      <option value="https://www.va.gov/opa/persona/caregiver_family.asp">Caregiver/Family Member </option>
      <option value="https://www.va.gov/opa/persona/dependent_survivor.asp">Dependent/Survivor </option>
      <option value="https://www.benefits.va.gov/guardreserve">National Guard/Reserve </option>
      <option value="https://www.va.gov/opa/persona/professional_researcher.asp">Clinician/Researcher/Trainee</option>
    </select>
  </div>
  <input type="submit" id="submit" class="hidethis" value="">
</form>

https://public.govdelivery.com/accounts/USVA/subscribers/qualify

<form action="https://public.govdelivery.com/accounts/USVA/subscribers/qualify" onsubmit="return window.confirm(&quot;You are submitting information to an external page.\nAre you sure?&quot;);">
  <input name="topic_id" type="hidden" value="USVA">
  <label class="positionset" for="email_footer">Email Address Required</label>
  <input class="email_footer" id="email_footer" name="email" type="text" size="10" value="Email Address" onfocus="this.value=''" title="Enter here">
  <div id="footer-email-Button">
    <label class="positionset" for="commit">Button to subscribe to email</label>
    <input name="commit" class="form_button" id="commit" type="image" src="/va_files/2014/responsive/images/button-footer-email.png" alt="Click here to submit your email" title="Click here to submit your email">
  </div>
</form>

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I AM A...
Select One Veteran Active Duty Service Member Caregiver/Family Member
Dependent/Survivor National Guard/Reserve Clinician/Researcher/Trainee
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