book.curative.com
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99.84.146.73
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Submitted URL: https://book.curative.com/manage/KVWCjYoN7sXvPQ/results
Effective URL: https://book.curative.com/manage/KVWCjYoN7sXvPQ
Submission: On July 11 via manual from US — Scanned from DE
Effective URL: https://book.curative.com/manage/KVWCjYoN7sXvPQ
Submission: On July 11 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form>
<div>
<div class="MuiFormControl-root MuiTextField-root" data-testid="date-input">
<div class="MuiInputBase-root MuiInput-root MuiInputBase-formControl MuiInput-formControl MuiInputBase-adornedEnd"><input aria-invalid="false" placeholder="MM/DD/YYYY" type="text"
class="MuiInputBase-input MuiInput-input MuiInputBase-inputAdornedEnd" value="">
<div class="MuiInputAdornment-root MuiInputAdornment-positionEnd"><button class="MuiButtonBase-root MuiIconButton-root" tabindex="0" type="button" aria-label="Open keyboard date picker"><span class="MuiIconButton-label"><svg
class="MuiSvgIcon-root" focusable="false" viewBox="0 0 24 24" aria-hidden="true">
<path d="M17 12h-5v5h5v-5zM16 1v2H8V1H6v2H5c-1.11 0-1.99.9-1.99 2L3 19c0 1.1.89 2 2 2h14c1.1 0 2-.9 2-2V5c0-1.1-.9-2-2-2h-1V1h-2zm3 18H5V8h14v11z"></path>
<path fill="none" d="M0 0h24v24H0z"></path>
</svg></span><span class="MuiTouchRipple-root"></span></button></div>
</div>
</div>
<div aria-hidden="true" class="curative-1h1ld33 edw2erm2">
<div class="edw2erm0 curative-1yjrwx7 efbd6080" color="#B8332A" aria-hidden="true"><svg viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
<path fill-rule="evenodd" clip-rule="evenodd"
d="M12 1C5.92487 1 1 5.92487 1 12C1 18.0751 5.92487 23 12 23C18.0751 23 23 18.0751 23 12C23 5.92487 18.0751 1 12 1ZM12 20.8C7.13989 20.8 3.2 16.8601 3.2 12C3.2 7.13989 7.13989 3.2 12 3.2C16.8601 3.2 20.8 7.13989 20.8 12C20.8 16.8601 16.8601 20.8 12 20.8ZM12 17.5C12.6075 17.5 13.1 17.0075 13.1 16.4C13.1 15.7925 12.6075 15.3 12 15.3C11.3925 15.3 10.9 15.7925 10.9 16.4C10.9 17.0075 11.3925 17.5 12 17.5ZM10.9 7.6C10.9 6.99249 11.3925 6.5 12 6.5C12.6075 6.5 13.1 6.99249 13.1 7.6V13.1C13.1 13.7075 12.6075 14.2 12 14.2C11.3925 14.2 10.9 13.7075 10.9 13.1V7.6Z"
fill="white"></path>
</svg></div>
<div class="curative-n2ekye edw2erm1"></div>
</div>
</div>
<div class="curative-37l7q9 e1jmwwkh0"></div><button class="curative-p1lajl e13s00td0" type="submit">Continue</button>
</form>Text Content
Services Company Careers Support Book Now My Appointment English Services Company * Careers * Support * Book Now * My Appointment Verify your identity For your privacy and security, we need to confirm your identity before showing your test result. Please enter your date of birth below. DATE OF BIRTH Continue