admin.healiom-service.com Open in urlscan Pro
65.109.112.221  Public Scan

Form analysis
0 forms found in the DOM

Text Content

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FETCH CLINICAL DATA

Select a Page

1. Create User

open

Note: Copy 'uid' from response for next step

CREATE USER API FORM

Enter User Information:

First Name




Last Name




Date of Birth



Press the down arrow key to interact with the calendar and select a date. Press
the escape button to close the calendar.

Selected date is 2023/10/27. Select the second date.

Gender

Male

Female

Other

Number of Addresses




Address 1

Address 1 Line 1




Address 1 Line 2




Address 1 City




Address 1 State




Address 1 Zip Code




Create User





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