mychart.promedica.org
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Submitted URL: https://mychart.promedica.org/MyChart/
Effective URL: https://mychart.promedica.org/MyChart/Authentication/Login
Submission: On April 24 via manual from US — Scanned from DE
Effective URL: https://mychart.promedica.org/MyChart/Authentication/Login
Submission: On April 24 via manual from US — Scanned from DE
Form analysis
2 forms found in the DOMPOST #
<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="legacyLabelledField"><label for="Login" class="required">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="legacyLabelledField"><label for="Password" class="required">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="anYU-z1RHMD3iLyDJiyCzZpoi-kdrHIPg6mLGG8VD-zdLU6L0fsnf9KEycNmgZtDJcrRZISMSKbbAyzDCOr621K6wRI1" autocomplete="off">
<div class="formcontents">
</div><input type="hidden" name="DeviceId"><input type="hidden" name="postLoginUrl" value="">
</form>
Text Content
Error: Please enable JavaScript in your browser before using this site. Sign in to MyChart Error: Please enable cookies to log in to MyChart. * COMMUNICATE WITH YOUR DOCTOR Get answers to your medical questions from the comfort of your own home * ACCESS YOUR TEST RESULTS No more waiting for a phone call or letter – view your results and your doctor's comments within days * REQUEST PRESCRIPTION REFILLS Send a refill request for any of your refillable medications * MANAGE YOUR APPOINTMENTS Schedule your next appointment, or view details of your past and upcoming appointments MyChart Username Password Forgot username?Forgot password? NEW USER? Sign up now NEED TO PAY A BILL? Pay Now Need Help Accessing MyChart? Review our frequently asked questions. Call Us: 1-833-212-1586 Application Data SharingFAQsPrivacy PolicyTerms and ConditionsDefault ThemeHigh Contrast Theme MyChart® licensed from Epic Systems Corporation© 1999 - 2024 Loading...