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Form analysis
2 forms found in the DOM

POST #

<form autocomplete="off" method="post" action="#" id="loginForm" target="_top">
  <div class="formcontents"><input class="hidden" type="hidden" id="jsenabled" name="jsenabled" value="0" autocomplete="off">
    <div class="ghostInput compact ghosted"><label for="Login">MyChart Username</label><input data-permissive="true" class="jsreq" type="text" id="Login" name="Login" maxlength="128" autocomplete="off" aria-describedby="errorMessage"></div>
    <div class="ghostInput"><label for="Password">Password</label><input class="jsreq" type="password" id="Password" name="Password" autocomplete="off" aria-describedby="errorMessage"></div><input class="button tall jsreq completeworkflow"
      type="submit" name="submit" id="submit" value="Sign in" title="" autocomplete="off">
    <div class="recovery"><a href="/MyChart/recoverlogin.asp">Forgot username?</a><a href="/MyChart/passwordreset.asp">Forgot password?</a></div>
    <div id="invisibleCaptchaContainer" class="loginCaptcha"></div>
  </div>
</form>

POST /MyChart/Authentication/Login/DoLogin

<form class="hidden" action="/MyChart/Authentication/Login/DoLogin" autocomplete="off" id="actualLogin" method="post" target="_top"><input name="__RequestVerificationToken" type="hidden"
    value="3Qo-VlpqdnbjZY3a518SBM-WFo5PdSoyH_O7TwmrqCpeclYwDWXdUD8tgSkh2WmWaj5sjWc3oO3IPdOo6mod8agmTvU1" autocomplete="off">
  <div class="formcontents">
  </div><input type="hidden" name="DeviceId"><input type="hidden" name="postLoginUrl" value="">
</form>

Text Content

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 * COMMUNICATE WITH YOUR DOCTOR
   
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Bogen, the goal of the Broward Heart Project is to provide free access to a
heart test that will provide information to participants with certain health
risks.



TO PARTICIPATE, YOU MUST:

 * Be a Broward Resident
 * Be 45 to 70 years of age
 * Have active health insurance
 * Meet certain risk criteria or requirements that have been set by a panel of
   doctors


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