a816-healthpsi.nyc.gov
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Submitted URL: http://a816-healthpsi.nyc.gov/
Effective URL: https://a816-healthpsi.nyc.gov/NYCMED/Account/Login
Submission: On April 04 via api from US — Scanned from DE
Effective URL: https://a816-healthpsi.nyc.gov/NYCMED/Account/Login
Submission: On April 04 via api from US — Scanned from DE
Form analysis 9 forms found in the DOM
POST https://a816-healthpsi.nyc.gov/login.fcc
<form id="frmLogin" action="https://a816-healthpsi.nyc.gov/login.fcc" method="post" novalidate="novalidate">
<div class="sign-in-section">
<h3 style="font-weight: normal; color: black; margin-bottom: 20px">Sign in with your NYCMED Account</h3>
<input name="__RequestVerificationToken" type="hidden" value="ltUIIwHr2nfVobkOKJ6-nesIt5uhi1LM4uRb8bWhQ_Jf5o92vf-3ucxpvKLvNDrTymU6HuDCH8_PTgUoqGj8xzvOeYw7Dsd1zmyBoQDEC0o1">
<div class="form-group" style="margin-bottom: 0px !important;">
<input autocomplete="off" data-val="true" data-val-required="Please provide username" id="UserName" name="UserName" placeholder="Enter your User ID" style="color: #A9A9A9; background-color: #FCFCFC; font-size: 10pt;" type="text" value="">
<span class="field-validation-valid" data-valmsg-for="UserName" data-valmsg-replace="true"></span><br>
</div>
<div class="form-group" style="margin-bottom: 0px !important;">
<input autocomplete="off" data-val="true" data-val-required="Please provide password" id="PASSWORD" name="PASSWORD" placeholder="Password" style="color: #A9A9A9;font-size: 10pt;" type="password">
<span class="field-validation-valid" data-valmsg-for="PASSWORD" data-valmsg-replace="true"></span><br>
</div>
<div class="form-group" style="margin-bottom: 20px !important;">
<button id="btnLogin" class="btn btn-default" type="submit">Sign in</button><br>
</div>
<div class="form-group" style="margin-bottom: 0px !important;">
<div><a class="registerText" href="/NYCMED/Account/Register">Create an account</a></div>
<a id="lnkForgotPassword" href="#" class="registerText">I don't know my password</a>
</div>
</div>
<input type="HIDDEN" name="SMENC" value="ISO-8859-1">
<input type="HIDDEN" name="SMLOCALE" value="US-EN">
<input type="HIDDEN" name="SMRETRIES" value="1">
<input type="hidden" name="target" value="https://a816-healthpsi.nyc.gov/NYCMED/Account/Home">
<input type="hidden" name="smquerydata" value="">
<input type="hidden" name="smauthreason" value="0">
<input type="hidden" name="smagentname" value="gEICDOBo3DFaqHXnENahNAa51jo+O/PJlFC1Aec54JdmrAC+Ehada0dnH5OSI2gv">
<input type="hidden" name="postpreservationdata" value="">
</form>POST /NYCMED/Account/Register
<form action="/NYCMED/Account/Register" id="frmRegister" method="post" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden"
value="FtoTTHLPJdEZHdU_7blzfsKFK6k5U42rTX0_ReyADsIyaZIS3Mrn2bTFIlbg2HCNcWCtUKSy_Sl7SSblMbk77J6uxpCzblSd9S0uiUGoDpk1">
<ul style="align-items: center; color:black !important" class="ui-tabs-nav ui-helper-reset ui-helper-clearfix ui-corner-top">
<li class="ui-state-default ui-corner-top ui-tabs-selected ui-state-active"><a href="#register-1">Basic Details</a></li>
<li class="ui-state-default ui-corner-top"><a href="#register-2" style="color: black !important; opacity: 1 !important; ">Applications</a></li>
<li id="liDetails" class="ui-state-default ui-corner-top"><a href="#register-3">Details</a></li>
<li id="liProfile" class="ui-state-default ui-corner-top"><a href="#register-4" style="color: black !important; opacity: 1 !important;">Profile</a></li>
</ul>
<div id="register-1" style="background: #ffffff;" class="modal-body ui-tabs-panel ui-widget-content ui-corner-bottom">
<div class="form-group">
<label for="FirstName" id="lblFirstName">First Name</label>
<label for="" style="color: #f00;">*</label>
<input autocomplete="off" class="form-control" data-val="true" data-val-length="First name is limited to 30 characters" data-val-length-max="30" data-val-regex="Invalid First Name" data-val-regex-pattern="^([a-zA-Z ]+([']?[-]?[a-zA-Z ]*))$"
data-val-required="Please provide first name" id="txtFirstName" name="FirstName" placeholder="First Name" type="text" value="">
<span class="field-validation-valid" data-valmsg-for="FirstName" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<label for="LastName" id="lblLastName">Last Name</label>
<label for="" style="color: #f00;">*</label>
<input autocomplete="off" class="form-control" data-val="true" data-val-length="Last name is limited to 30 characters" data-val-length-max="30" data-val-regex="Invalid Last Name" data-val-regex-pattern="^([a-zA-Z ]+([']?[-]?[a-zA-Z ]*))$"
data-val-required="Please provide last name" id="txtLastName" name="LastName" placeholder="Last Name" type="text" value="">
<span class="field-validation-valid" data-valmsg-for="LastName" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<label for="Email" id="lblEmail">Email</label>
<label for="" style="color: #f00;">*</label>
<input autocomplete="off" class="form-control" data-val="true" data-val-email="The Email field is not a valid e-mail address." data-val-regex="Enter correct format for Email"
data-val-regex-pattern="^([0-9a-zA-Z]([-.\w]*[0-9a-zA-Z])*@([0-9a-zA-Z][-\w]*[0-9a-zA-Z]\.)+[a-zA-Z]{2,9})$" data-val-required="Please provide email address" id="txtEmail" name="Email" placeholder="Email" type="text" value="">
<label for="" id="lblCheckEmail" style="display:none"> </label>
<span class="field-validation-valid" data-valmsg-for="Email" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<label for="Role" id="lblRole">Are you a Licensed Provider</label> <label for="" style="color: #f00;">*</label> <input data-val="true" data-val-regex="Invalid entry" data-val-regex-pattern="^([a-zA-Z]+)$"
data-val-required="The Are you a Licensed Provider field is required." id="rbtnYes" name="Role" type="radio" value="Yes"> <label for="Yes">Yes</label> <input id="rbtnNo" name="Role" type="radio" value="No"> <label
for="No">No</label>
<br>
<span class="field-validation-valid" data-valmsg-for="Role" data-valmsg-replace="true"></span>
</div>
<div id="divProvider" class="form-group">
<label for="ProviderLicense" id="lblProviderLicense">Provider License</label>
<label for="" style="color: #f00;">*</label>
<input autocomplete="off" class="form-control" data-val="true" data-val-regex="Invalid Provider Licence" data-val-regex-pattern="^([a-zA-Z0-9 ]+)$" data-val-required="The Provider License field is required." id="txtProviderLicense"
name="ProviderLicense" placeholder="ProviderLicense" type="text" value="">
<span class="field-validation-valid" data-valmsg-for="ProviderLicense" data-valmsg-replace="true"></span>
</div>
<div id="divLicenseIssuingState" class="form-group">
<label for="LicenseIssuingState" id="lblLicenseIssuingState">License Issuing State</label>
<label for="" style="color: #f00;">*</label>
<select class="form-control" data-val="true" data-val-regex="Invalid State" data-val-regex-pattern="^([a-zA-Z ]+)$" data-val-required="The License Issuing State field is required." id="ddlSecurityQuestion" name="LicenseIssuingState"
style="width:100%">
<option value="">Select a State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="DC">Washington D.C.</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
<span class="field-validation-valid" data-valmsg-for="LicenseIssuingState" data-valmsg-replace="true"></span>
</div>
<div id="divNPI" class="form-group">
<label for="NPI" id="lblNPI">NPI</label>
<label for="" style="color: #f00;">*</label>
<input autocomplete="off" class="form-control" data-val="true" data-val-regex="Invalid NPI" data-val-regex-pattern="^([a-zA-Z0-9 ]+)$" data-val-required="The NPI field is required." id="txtNPI" name="NPI" placeholder="NPI" type="text" value="">
<span class="field-validation-valid" data-valmsg-for="NPI" data-valmsg-replace="true"></span>
</div>
<div id="divCaptcha" class="form-group">
<label for="Captcha" id="lblCaptcha1">Type text in the box</label>
<label for="" style="color: #f00;">*</label>
<img id="imgCaptcha" src="/NYCMED/Account/GenerateCaptcha" alt="Captcha Image" title="Captcha">
<input class="form-control" data-val="true" data-val-regex="Invalid captcha" data-val-regex-pattern="^([a-zA-Z0-9 ]+)$" data-val-required="The Type text in the box field is required." id="txtCaptcha" name="Captcha" type="text" value="">
<label for="Please_type_the_correct_Text" id="lblCaptcha" style="color: #f00; display:none">Please type the correct Text</label>
<span class="field-validation-valid" data-valmsg-for="Captcha" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<button id="btnCancel1" class="btn btn-primary" type="button">CANCEL</button> <button id="btnNext1" class="btnlogin" type="button">NEXT</button> <button id="btnNext5" class="btnlogin" type="button"
style="display: none">NEXT</button>
</div>
</div>
<div id="register-2" style="color: black !important; opacity: 1 !important; " class="modal-body ui-tabs-panel ui-widget-content ui-corner-bottom ui-tabs-hide">
<div class="form-group">
</div>
<div class="form-group">
<button id="btnCancel2" class="btn btn-primary" type="button">CANCEL</button> <button id="btnNext2" class="btnlogin" type="button">NEXT</button> <button id="btnUpdate2" class="btnlogin" type="submit"
style="display: none">UPDATE</button> <button id="btnNext4" class="btn btn-primary" type="button" style="display: none">OK</button>
</div>
</div>
<div id="register-3" style="background: #f3f6fa;" class="modal-body ui-tabs-panel ui-widget-content ui-corner-bottom ui-tabs-hide">
<div class="form-group">
<label for="FirstName" id="lblFirstName">First Name</label>
<label for="" style="color: #f00;">*</label>
<input autocomplete="off" class="form-control" id="txtFirstName" name="FirstName" placeholder="First Name" type="text" value="">
<span class="field-validation-valid" data-valmsg-for="FirstName" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<label for="LastName" id="lblLastName">Last Name</label>
<label for="" style="color: #f00;">*</label>
<input autocomplete="off" class="form-control" id="txtLastName" name="LastName" placeholder="Last Name" type="text" value="">
<span class="field-validation-valid" data-valmsg-for="LastName" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<label for="ProviderLicense" id="lblProviderLicense">Provider License</label>
<input autocomplete="off" class="form-control" id="txtProviderLicense" name="ProviderLicense" placeholder="ProviderLicense" type="text" value="">
<span class="field-validation-valid" data-valmsg-for="ProviderLicense" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<button id="btnCancel3" class="btn btn-primary" type="button">CANCEL</button> <button id="btnNext3" class="btnlogin" type="button">NEXT</button>
</div>
</div>
<div id="register-4" style="color: black !important; opacity: 1 !important; " class="modal-body ui-tabs-panel ui-widget-content ui-corner-bottom ui-tabs-hide">
<div class="form-group">
<label for="UserName" id="lblUserName">UserName</label>
<label for="" style="color: #f00;">*</label>
<input autocomplete="off" class="form-control" data-val="true" data-val-length="UserName is limited to 30 characters" data-val-length-max="30" data-val-regex="Only allow entering alphabetic characters and numbers in UserName field"
data-val-regex-pattern="^([a-zA-Z0-9_]+)$" data-val-required="Please provide username" id="txtCheckUser" name="UserName" placeholder="User Name" type="text" value="">
<label for="" id="lblCheckUser" style="display:none"> </label>
<span class="field-validation-valid" data-valmsg-for="UserName" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<label for="Password" id="lblPassword">Password</label>
<label for="" style="color: #f00;">*</label> <br> The password must be at least 8 characters long and contain at least 1 letter and 1 number. <input autocomplete="off" class="form-control" data-val="true"
data-val-length="The Password must be at least 8 characters long." data-val-length-max="100" data-val-length-min="8" data-val-regex="The Password must be at least 8 characters long and contain at least 1 letter and 1 number."
data-val-regex-pattern="^(?=.*\d)(?=.*[a-zA-Z]).{8,}$" data-val-required="Please provide Password" id="txtPassword" name="Password" placeholder="Password" type="password">
<span class="field-validation-valid" data-valmsg-for="Password" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<label for="ConfirmPassword" id="lblConfirmPassword">Confirm password</label>
<label for="" style="color: #f00;">*</label>
<input autocomplete="off" class="form-control" data-val="true" data-val-equalto="The password and confirmation password do not match." data-val-equalto-other="*.Password"
data-val-regex="The Confirm password must be at least 8 characters long and contain at least 1 letter and 1 number." data-val-regex-pattern="^(?=.*\d)(?=.*[a-zA-Z]).{8,}$" id="txtConfirmPassword" name="ConfirmPassword"
placeholder="ConfirmPassword" type="password">
<span class="field-validation-valid" data-valmsg-for="ConfirmPassword" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<label for="SecurityQuestion" id="lblSecurityQuestion">Security Question</label>
<label for="" style="color: #f00;">*</label>
<select class="form-control" data-val="true" data-val-regex="Invalid Security Question" data-val-regex-pattern="^([a-zA-Z0-9 ?']+)$" data-val-required="Pick your security question" id="ddlSecurityQuestion" name="SecurityQuestion"
style="width:100%">
<option value="What is the street where you grew up on?">What is the street where you grew up on?</option>
<option value="What is your favorite Doctor's name?">What is your favorite Doctor's name?</option>
<option value="What is your mother's maiden name?">What is your mother's maiden name?</option>
<option value="What is your pet's name?">What is your pet's name?</option>
<option value="Where did you go on your first date?">Where did you go on your first date?</option>
</select>
<span class="field-validation-valid" data-valmsg-for="SecurityQuestion" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<label for="SecurityAnswer" id="lblSecurityAnswer">Security Answer</label>
<label for="" style="color: #f00;">*</label>
<input autocomplete="off" class="form-control" data-val="true" data-val-regex="Invalid Answer" data-val-regex-pattern="^([A-Za-z0-9 '.,]+)$" data-val-required="Please provide security answer" id="txtSecurityAnswer" name="SecurityAnswer"
placeholder="Security Answer" type="text" value="">
<span class="field-validation-valid" data-valmsg-for="SecurityAnswer" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<button id="btnClose" class="btn btn-primary" type="button">CANCEL</button> <button id="btnCreate" class="btnlogin" type="submit">CREATE AN ACCOUNT</button>
</div>
</div>
</form>POST /NYCMED/%20/%20
<form action="/NYCMED/%20/%20" id="frmForgotPassword" method="post" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden"
value="Fjc_YsvkXtq1OblC8tJWGKS9u3t8Lfm0uF8-Fib7Kfzbcox8dISr-B57JXBhHqLMhnxk6usEuXzSGmsGs_H_Jt9NRI2SqzHBxLjZ8hnIOsg1">
<div id="divForgotPassword1" class="modal-body">
<div class="form-group">
<label for="Are_you_a_DOHMH_employee__" style="margin-left:0px !important">Are you a DOHMH employee? </label>
<br>
<div class="radio-inline">
<input id="rbYes" name="employee" type="radio" value="Yes"> Yes
</div>
<div class="radio-inline">
<input id="rbNo" name="employee" type="radio" value="No"> No
</div>
</div>
</div>
<div id="divForgotPassword2" style=" display:none" class="modal-body">
<div class="form-group">
<label for="UserName" id="lblUserName1" style="margin-left:0px !important; margin-bottom:5px !important">Username</label>
<input autocomplete="off" class="form-control" data-val="true" data-val-regex="Invalid UserName" data-val-regex-pattern="^([a-zA-Z0-9_]+)$" data-val-required="The Username field is required." id="txtUserName1" name="UserName"
placeholder="User Name" style="margin-bottom:10px !important;width:100%" type="text" value="">
<label for="UserName_does_not_exist" id="lblUserLabel" style="color: #f00; display:none">UserName does not exist</label>
<span class="field-validation-valid" data-valmsg-for="UserName" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<button id="btnSubmitPassword1" class="btn btn-default btnlogin" type="button" style="margin-left:0px !important">SUBMIT</button> <button id="btnCancelPassword1" class="btn btn-default btnlogin" type="button">CANCEL</button>
</div>
</div>
<div id="divForgotPassword3" style="background: #f3f6fa; display:none" class="modal-body">
<div class="form-group">
<label for="SecurityQuestion" id="lblSecurityQuestion1">Security Question</label>
<br>
<label for="" id="lblSecurityQuestion2"> </label>
</div>
<div class="form-group">
<label for="SecurityAnswer" id="lblSecurityAnswer1">Security Answer</label>
<label for="" style="color: #f00;">*</label>
<input autocomplete="off" class="form-control" data-val="true" data-val-regex="Invalid Answer" data-val-regex-pattern="^([A-Za-z0-9 '.,]+)$" data-val-required="The Security Answer field is required." id="txtSecurityAnswer1"
name="SecurityAnswer" placeholder="Security Answer" type="text" value="">
<label for="Security_Answer_do_not_match" id="lblPasswordLabel" style="color: #f00; display:none">Security Answer do not match</label>
<span class="field-validation-valid" data-valmsg-for="SecurityAnswer" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<button id="btnCancelPassword2" class="btn btn-primary" type="button">CANCEL</button> <button id="btnSubmitPassword2" class="btnlogin" type="button">SUBMIT</button>
</div>
</div>
<div id="divForgotPassword4" style="background: #f3f6fa; display:none" class="modal-body">
<div class="form-group">
<label for="Error_processing__Try_Again" id="lblError" style="color: #f00; display:none">Error processing, Try Again</label>
<br>
<label for="NewPassword" id="lblNewPassword1">New Password</label>
<label for="" style="color: #f00;">*</label>
<input autocomplete="off" class="form-control" data-val="true" data-val-length="The New Password must be at least 8 characters long." data-val-length-max="100" data-val-length-min="8"
data-val-regex="The New Password must be at least 8 characters long and contain at least 1 letter and 1 number." data-val-regex-pattern="^(?=.*\d)(?=.*[a-zA-Z]).{8,}$" data-val-required="The New Password field is required."
id="txtNewPassword1" name="NewPassword" placeholder="New Password" type="password">
<span class="field-validation-valid" data-valmsg-for="NewPassword" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<label for="ConfirmPassword" id="lblConfirmPassword">Confirm password</label>
<label for="" style="color: #f00;">*</label>
<input autocomplete="off" class="form-control" data-val="true" data-val-equalto="The password and confirmation password do not match." data-val-equalto-other="*.NewPassword" id="txtConfirmPassword1" name="ConfirmPassword"
placeholder="Confirm Password" type="password">
<span class="field-validation-valid" data-valmsg-for="ConfirmPassword" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<button id="btnCancelPassword3" class="btn btn-primary" type="button">CANCEL</button> <button id="btnSubmitPassword3" class="btnlogin" type="button">SUBMIT</button>
</div>
</div>
<div id="divForgotPassword5" style="background: #f3f6fa; display:none" class="modal-body">
<div class="form-group">
<label for="Your_password_has_been_reset" id="lblPasswordReset">Your password has been reset</label>
<br>
</div>
<div class="form-group">
<button id="btnOK1" class="btn btn-primary" type="button">OK</button>
</div>
</div>
</form>POST /NYCMED/Account/changePassword
<form action="/NYCMED/Account/changePassword" method="post" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden"
value="EqW3F5nUfFpZtGq79VjppjUvXAvqL9gzXklHgfC2oVlkQnggFyx_TpnPbVlbfH69hcodH7VWzmKsQh5t8dBah-PI0RCrK9IBdAG7xrUmqoM1">
<div class="panel clearfix" style="margin-left:6px !important">
<div class="pull-left sign-in-right reg-block">
<h3 style="margin-left:30px;">Change Password </h3>
<div class="form-group">
<label class="marginNew" style="margin-bottom:5px">Current Password</label>
<input autocomplete="off" class="form-control marginNew" data-val="true" data-val-required="Please provide your current Password" id="txtFirstName" name="CurrentPassword" placeholder="Current Password" type="password">
<span class="field-validation-valid" data-valmsg-for="CurrentPassword" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<label class="marginNew" style="margin-bottom: 5px">New Password</label>
<input autocomplete="off" class="form-control marginNew" data-val="true" data-val-length="The New Password must be at least 8 characters long." data-val-length-max="100" data-val-length-min="8"
data-val-regex="New Password must have at least 8 characters, including at least 3 of the following: Number, Uppercase letter, Lower‐case letter, Symbol character."
data-val-regex-pattern="^(?=.*[a-z])(?=.*[A-Z])(?=.*\d)(?=.*[$@$!%*?&])[A-Za-z\d$@$!%*?&]{8,}" data-val-required="Please provide your new Password" id="txtPassword" name="NewPassword" placeholder="New Password"
style="margin-bottom:5px;" type="password">
<span class="field-validation-valid" data-valmsg-for="NewPassword" data-valmsg-replace="true"></span>
<input autocomplete="off" class="form-control marginNew" data-val="true" data-val-equalto="The password and confirmation password do not match." data-val-equalto-other="*.NewPassword"
data-val-regex="ConfirmPassword must have at least 8 characters, including at least 3 of the following: Number, Uppercase letter, Lower‐case letter, Symbol character."
data-val-regex-pattern="^(?=.*[a-z])(?=.*[A-Z])(?=.*\d)(?=.*[$@$!%*?&])[A-Za-z\d$@$!%*?&]{8,}" data-val-required="Please confirm your new Password" id="txtConfirmPassword" name="ConfirmPassword" placeholder="Confirm your password"
type="password">
<span class="field-validation-valid" data-valmsg-for="ConfirmPassword" data-valmsg-replace="true"></span><br>
</div>
<div class="form-group ">
<button class="btn btn-default btnlogin marginNew" type="submit" style="margin-bottom:20px">Update </button>
</div>
</div>
</div>
</form>POST /NYCMED/
<form action="/NYCMED/" id="frmChangeSecurityQuestion" method="post" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden"
value="lPLFo4rvBPRrapt-uc0stW6Chlj6Gf4tvI8dmNNVHNFMZanUfQVsfWlyRc7TmnqE6lellVMvJ0jrPB16fe99AvYsKj7i1BBlO16zkpx3jhc1">
<div id="divChangeSecurityQuestion1" style="background: #f3f6fa; " class="modal-body ">
<div class="form-group">
<label for="" id="lblChangeSecurityRequiredFields" style="color: #f00;">* Indicates Required Fields</label>
<label for="SecurityQuestion" id="lblChangeSecurityQuestion1">Security Question</label>
<label for="" style="color: #f00;">*</label>
<select class="form-control" data-val="true" data-val-regex="Invalid Security Question" data-val-regex-pattern="^([a-zA-Z0-9 ?']+)$" id="ddlChangeSecurityQuestion1" name="SecurityQuestion" style="width:100%">
<option value="What is the street where you grew up on?">What is the street where you grew up on?</option>
<option value="What is your favorite Doctor's name?">What is your favorite Doctor's name?</option>
<option value="What is your mother's maiden name?">What is your mother's maiden name?</option>
<option value="What is your pet's name?">What is your pet's name?</option>
<option value="Where did you go on your first date?">Where did you go on your first date?</option>
</select>
<span class="field-validation-valid" data-valmsg-for="SecurityQuestion" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<label for="SecurityAnswer" id="lblChangeSecurityAnswer1">Security Answer</label>
<label for="" style="color: #f00;">*</label>
<input autocomplete="off" class="form-control" data-val="true" data-val-regex="Invalid Answer" data-val-regex-pattern="^([A-Za-z0-9 ']+)$" data-val-required="Security Answer is required." id="txtChangeSecurityAnswer1" name="SecurityAnswer"
placeholder="Security Answer" type="text" value="">
<span class="field-validation-valid" data-valmsg-for="SecurityAnswer" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<button id="btnCancelChangeSecurityQuestion" class="btn btn-primary" type="button">CANCEL</button> <button id="btnSubmitChangeSecurityAnswer" class="btn btn-primary" type="button">SUBMIT</button>
</div>
</div>
<div id="divChangeSecurityQuestion2" style="background: #f3f6fa; display:none" class="modal-body">
<div class="form-group">
<label for="Your_security_question_and_answer_has_been_updated_successfully" id="lblChangeSecurityQuestionandAnswer">Your security question and answer has been updated successfully</label>
</div>
<div class="form-group">
<button id="btnChangeSecurityQuestionOK3" class="btn btn-primary" type="button">OK</button>
</div>
</div>
</form>POST /NYCMED/Account/Login
<form action="/NYCMED/Account/Login" id="frmJoinHAN" method="post" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden"
value="WGqnv0L_sNRVhHziKJeNS3TRXAo2rvJ5e1EYFEF1-9Wu355p51c4MVPKYxwe2NLxGfH2Lf_bMP3J7mZHXv-lJk0aSKrmh25lHpb55CzyWq81">
<div id="divUnSubFirstName" class="form-group" style="margin-bottom:10px;">
<label for="FirstName" id="lblHANFirstName" style="margin-left:0px !important;margin-bottom:5px">First Name</label>
<input autocomplete="off" class="form-control" data-val="true" data-val-length="First Name is limited to 30 characters" data-val-length-max="30" data-val-regex="Invalid First Name" data-val-regex-pattern="^([a-zA-Z ]+([']?[-]?[a-zA-Z ]*))$"
data-val-required="Please provide first name" id="txtHANFirstName" name="FirstName" placeholder="First Name" style="margin-bottom:10px;width: 100%;" type="text" value="">
<span class="field-validation-valid" data-valmsg-for="FirstName" data-valmsg-replace="true"></span>
</div>
<div id="divUnSubLastName" class="form-group">
<label for="LastName" id="lblHANLastName" style="margin-left:0px !important;margin-bottom:5px">Last Name</label>
<input autocomplete="off" class="form-control" data-val="true" data-val-length="Last Name is limited to 30 characters" data-val-length-max="30" data-val-regex="Invalid Last Name" data-val-regex-pattern="^([a-zA-Z ]+([']?[-]?[a-zA-Z ]*))$"
data-val-required="Please provide last name" id="txtHANLastName" name="LastName" placeholder="Last Name" style="margin-bottom:10px;width: 100%;" type="text" value="">
<span class="field-validation-valid" data-valmsg-for="LastName" data-valmsg-replace="true"></span>
</div>
<div class="form-group">
<label for="Email" id="lblHANEmail" style="margin-left:0px !important;margin-bottom:5px">Email</label>
<input autocomplete="off" class="form-control" data-val="true" data-val-email="The Email field is not a valid e-mail address." data-val-regex="Enter correct format for Email"
data-val-regex-pattern="^([0-9a-zA-Z]([-.\w]*[0-9a-zA-Z])*@([0-9a-zA-Z][-\w]*[0-9a-zA-Z]\.)+[a-zA-Z]{2,9})$" data-val-required="Please provide email address" id="txtHANEmail" name="Email" placeholder="Email" style="width: 100%;" type="text"
value="">
<span class="field-validation-valid" data-valmsg-for="Email" data-valmsg-replace="true"></span>
</div>
<div id="hanErrorMsgDiv" class="hidediv">
<label for="" id="lblHANErrorMsg" style="color: #f00;"> </label>
</div>
<div class="form-group">
<button id="btnJoinHAN" class="btn btn-default btnlogin" type="submit" style="margin-left:0px !important;margin-top:10px !important">Subscribe</button> <button id="btnCloseHAN" class="btn btn-default btnlogin" type="button"
style="margin-top:10px !important">Close</button>
</div>
</form>POST /NYCMED/Account/Login
<form action="/NYCMED/Account/Login" id="frmHome" method="post" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden"
value="DuUO9yYs-EBINdpsAugd3RO2regAcYQgffAXGiYGjLL3bh-9GkVgPlhcQB_1z2FuS3pc_WxOl65ZixcrJU7hYlu7xRFAoyQILsIQ3G-L2DU1"></form>Name: frmAF —
<form name="frmAF" id="frmAF" novalidate="novalidate">
<input name="__RequestVerificationToken" type="hidden" value="A1f12RAQz91d1aLJNigyOF5zR_eO706YxdEGEnRsizhmqoVgVAwxyJwG1cPiVIq2598Hc-JQZu6aC52ow0Mno3CdVeFJBdxMP7x7EjrKF841">
</form>POST //translate.googleapis.com/translate_voting?client=te
<form id="goog-gt-votingForm" action="//translate.googleapis.com/translate_voting?client=te" method="post" target="votingFrame" class="VIpgJd-yAWNEb-hvhgNd-aXYTce"><input type="text" name="sl" id="goog-gt-votingInputSrcLang"><input type="text"
name="tl" id="goog-gt-votingInputTrgLang"><input type="text" name="query" id="goog-gt-votingInputSrcText"><input type="text" name="gtrans" id="goog-gt-votingInputTrgText"><input type="text" name="vote" id="goog-gt-votingInputVote"></form>Text Content
Health311Search all NYC.gov websites Promoting and Protecting the City's Health ▼ Text-Size Toggle navigation PROMOTING AND PROTECTING THE CITY'S HEALTH * NYCMED SIGN-UP FOR A NYCMED ACCOUNT NYCMED is the point of entry for providers to access many NYC DOHMH online applications for health information and public health services. Learn about and access other reporting platforms and services at both the city and federal level in this section as well. HEALTH ALERT NETWORK The Health Alert Network (HAN) contains public health information for medical providers, including: up-to-date health alert information delivered to your inbox and archived on the web, an online document library on public health topics, and an online community to exchange information and ideas with your colleagues. All medical providers in New York City may access the HAN. Go to HAN Join HAN SIGN IN WITH YOUR NYCMED ACCOUNT Sign in Create an account I don't know my password Need Help? I don't know my username or having other problems signing in? NYCMED Email: nycmed@health.nyc.gov Helpdesk:1-888-NYCMED-9 * Indicates Required Fields * Basic Details * Applications * Details * Profile First Name * Last Name * Email * Are you a Licensed Provider * Yes No Provider License * License Issuing State * Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming NPI * Type text in the box * Please type the correct Text CANCEL NEXT NEXT CANCEL NEXT UPDATE OK First Name * Last Name * Provider License CANCEL NEXT UserName * Password * The password must be at least 8 characters long and contain at least 1 letter and 1 number. Confirm password * Security Question * What is the street where you grew up on? What is your favorite Doctor's name? What is your mother's maiden name? What is your pet's name? Where did you go on your first date? Security Answer * CANCEL CREATE AN ACCOUNT Are you a DOHMH employee? Yes No Username UserName does not exist SUBMIT CANCEL Security Question Security Answer * Security Answer do not match CANCEL SUBMIT Error processing, Try Again New Password * Confirm password * CANCEL SUBMIT Your password has been reset OK CHANGE PASSWORD Current Password New Password Update * Indicates Required Fields Security Question * What is the street where you grew up on? What is your favorite Doctor's name? What is your mother's maiden name? What is your pet's name? Where did you go on your first date? Security Answer * CANCEL SUBMIT Your security question and answer has been updated successfully OK First Name Last Name Email Subscribe Close APPLICATIONS AGENCY SERVICES * eVital * Dog Licensing Application * DOHMH NYC Health Map * Secure File Transfer Service * Water Tank COMMUNITY SERVICES * Apply for Food Protection Course * Childcare Connect * Environmental Data Exchange Network * EpiQuery * Group Child Care and Summer Camp Orientation * Health Academy Training Courses * Health Research Training Program * Healthy Start Brooklyn * Local Law 37 * NYC Safer Sex Product Ordering Portal * NYC Pesticide Use Reporting System * WTC Health Registry PROVIDER SERVICES * MH - Parachute * MH - AOT Application * MH - ACE Application * MH - PEARLS Application * CYF - MRT Application * CYF - Early Childhood Mental Health Network * Levels of Service (LOS) * City Health Information (CHI) Subscription * Immunization Facilities Registration * Disease Reporting Central * Early Intervention Transportation Provider eBilling * Electronic System for HIV/AIDS Reporting & Evaluation (eSHARE) * HIV Care Status Report * Medical Reserve Corp Scheduling * Mental Health Provider Portal * Mental Health Maven System * Public Health Emergency Response Network * Public Health Emergency Response Network Auxiliary Distribution Program (PHERN ADP) * Online School Clinic Data Repository (OSCR) * Children SPOA * Relay Maven * SPOA Referrals * TMS Housing Data System Directory of City Agencies Contact NYC Government City Employees Notify NYC CityStore Stay Connected NYC Mobile Apps Maps Resident Toolkit NYC City of New York. 2016 All Rights Reserved, NYC is a trademark and service mark of the City of New York Privacy Policy. Terms of Use. Originaltext Diese Übersetzung bewerten Mit deinem Feedback können wir Google Übersetzer weiter verbessern