go.schooldoc.com
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34.237.219.119
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URL:
https://go.schooldoc.com/emailPreference/e/epc/591011/sRuMTaUD5QfpPwvgCp6taJq0_hqM2E8kLeZQ-iJFrJc/1165/79a9ed198f162b2de8...
Submission: On November 29 via api from US — Scanned from DE
Submission: On November 29 via api from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST https://go.docnetwork.org/emailPreference/e/epc/591011/WNMMG8F5S9cpCGIh5pLcjI3zcAIel5KJjo0D6Yee62g/1165/79a9ed198f162b2de822412fa63eea493b866863ea3194a5f218471561234160
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id="pardot-form">
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<label class="field-label" for="piEmailPrefEmail">Your Email Address:</label>
<input type="text" name="piEmailPrefEmail" id="piEmailPrefEmail" value="c******p@s*****e.m*****.us" class="text" readonly="readonly">
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<p class="form-field %%form-field-class-type%% required %%form-field-dependency-css%%">
<input type="hidden" name="piEmToken" id="piEmToken" value="lnNZdwVLJUPy4J8diVgfjSDVf0fTOUvWtEIeD7OlOk8" readonly="readonly">
</p>
<div id="error_for_piEmToken" style="display:none"></div>
<p class="form-field email-pref pd-checkbox %%form-field-dependency-css%%">
<input type="checkbox" name="list[]" id="list_191916" value="191916" checked="checked"> <label class="inline" for="list_191916">The Check Up</label>
<span class="description">Receive communication about our health and safety webcast</span>
</p>
<div id="error_for_list_191916" style="display:none"></div>
<p class="form-field %%form-field-css-classes%% %%form-field-class-type%% no-label %%form-field-dependency-css%%">
<a href="https://go.docnetwork.org/unsubscribeConfirm/591011/79a9ed198f162b2de822412fa63eea493b866863ea3194a5f218471561234160/1295850771" onclick="return confirm(this.getAttribute('data-confirm'));" data-confirm="Are you sure you want to opt out from all future email communications?" target="_top">Opt out from all email communications</a>
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<div id="error_for_gUnsub" style="display:none"></div>
<p style="position:absolute; width:190px; left:-9999px; top: -9999px;visibility:hidden;">
<label for="pi_extra_field">Comments</label>
<input type="text" name="pi_extra_field" id="pi_extra_field">
</p>
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<input name="_utf8" type="hidden" value="☃">
<p class="submit">
<input type="submit" accesskey="s" value="Save Preferences">
</p>
<script type="text/javascript">
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Text Content
* Electronic Health Record * Online Registration * Additional Features LET'S CHAT PERSONALIZE YOUR INBOX. WE WANT TO STAY IN TOUCH, BUT ONLY IN WAYS THAT YOU FIND HELPFUL. PLEASE CHOOSE WHAT TYPE OF COMMUNICATION YOU WOULD LIKE TO RECEIVE. Your Email Address: The Check Up Receive communication about our health and safety webcast Opt out from all email communications Comments * * * ©Copyright 2022. DocNetwork, Inc. All Rights Reserved Privacy Security Terms of Use