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Form analysis
1 forms found in the DOM

Name: $ctrl.form —

<form class="patient-modal__item ng-pristine ng-invalid ng-invalid-required ng-valid-maxlength ng-valid-$ctrl.patient.username" name="$ctrl.form" role="form" novalidate="novalidate" autocomplete="off">
  <header class="patient-modal__title" dir="auto"> <span translate="patient.modal.title" tabindex="1" data-test-id="welcome-page" class="ng-scope">Welcome!</span> </header>
  <p class="patient-modal__description"> <span translate="patient.modal.description" dir="auto" translate-values="{ displayName: $ctrl.room.getDisplayName() }" tabindex="2" data-dd-privacy="mask" class="ng-scope">Please check in below to let Dr. Rao
      know you are here</span> </p>
  <div class="patient-modal__photo-capture-notification-wrapper--fill-name-step"> <patient-photo-capture-notification room="$ctrl.room" current-institution="$ctrl.currentInstitution" current-step="'fillNameStep'" class="ng-isolate-scope">
      <div ng-show="$ctrl.isEnabled" class="patient-photo-capture-notification ng-hide"> <!-- ngIf: $ctrl.isWelcomeStep --><span class="patient-photo-capture-notification__description ng-scope" ng-if="$ctrl.isWelcomeStep"
          translate="patient.modal.photo-capture-notification.step-welcome" translate-values="{ providerName: $ctrl.providerName }">When you click&nbsp;<b>Check In</b>, a temporary photo will be taken to help Dr. Rao recognize
          you.</span><!-- end ngIf: $ctrl.isWelcomeStep --> <!-- ngIf: $ctrl.isAccessStep -->
        <a class="patient-photo-capture-notification__link" href="https://help.doxy.me/en/articles/3751218-for-patients-how-to-check-in" target="_blank" tabindex="3"> <span translate="patient.modal.photo-capture-notification.link-title" class="ng-scope">Learn more</span> </a>
      </div>
    </patient-photo-capture-notification> </div> <label class="form-field"> <input class="patient-modal__input form-field__input ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-valid-maxlength ng-valid-$ctrl.patient.username"
      d-validate-safe="d-validate-safe" placeholder="Enter patient first and last name" ng-attr-aria-label="{{$ctrl.checkInPlaceholder}}" d-auto-focus="" ng-disabled="$ctrl.checkInPromise" ng-model="$ctrl.patient.username"
      data-test-id="check-in-name-input" required="required" name="username" maxlength="40" autocomplete="name" tabindex="3" aria-required="true" aria-label="Enter patient first and last name"> <span
      ng-show="$ctrl.form.username.$invalid &amp;&amp; $ctrl.form.username.$dirty &amp;&amp; $ctrl.form.username.$viewValue" class="ng-hide">
      <p class="validation-invalid ng-scope" translate="form.errors.safe">URLs and curly/angled brackets are not allowed</p>
    </span> </label> <!-- ngIf: $ctrl.shouldUsePasscode() --> <!-- ngIf: $ctrl.shouldUseTos() --> <button class="patient-modal__button button button--main ng-isolate-scope" type="submit" ng-disabled="$ctrl.form.$invalid"
    button-promise="$ctrl.checkInPromise" ng-click="$ctrl.checkIn()" data-test-id="check-in-btn" validation-submit="$ctrl.form" tabindex="6" disabled="disabled">
    <div class="button__progress" style="width: 0%"></div> <svg class="button__icon button__icon--success" aria-hidden="true">
      <use xlink:href="#button-success"></use>
    </svg><svg class="button__icon button__icon--error" aria-hidden="true">
      <use xlink:href="#button-error"></use>
    </svg> <span class="button__text" ng-transclude="ng-transclude"> <span class="button__text ng-binding ng-scope"> Check In </span> </span>
  </button>
</form>

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About Doxy.me

We believe telemedicine will change the world by making it easier and more
affordable for healthcare providers to care for their patients anywhere.

Everyone should have access to telemedicine. Cost and complexity should not be a
barrier.

Doxy.me is simple and free so any healthcare provider can provide care to their
patients using telemedicine.



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Welcome!

Please check in below to let Dr. Rao know you are here

When you click Check In, a temporary photo will be taken to help Dr. Rao
recognize you. Learn more

URLs and curly/angled brackets are not allowed


Check In
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