patientez.mouv.desjardins.com Open in urlscan Pro
34.211.139.135  Public Scan

Form analysis
1 forms found in the DOM

Name: Email notification form —

<form id="MainPart_FormEmailInput" name="Email notification form">
  <label id="MainPart_lblEmailAddress" for="MainPart_inpEmailAddress">Enter email address</label>
  <input type="email" id="MainPart_inpEmailAddress" name="notificationEmailAddress" title="Enter email address" class="item-input" placeholder="example@email.com" data-bind="value: emailAddress" autocomplete="on"
    aria-labelledby="MainPart_lblEmailAddress">
  <button type="submit" class="btn" id="aUpdateEmail" data-bind="click: updateNotify"><span class="l">Notify me by e-mail</span><span class="r">&nbsp;</span></button>
</form>

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