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lucy.physiapp.com Open in urlscan Pro
18.66.192.4  Public Scan

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Submitted URL: https://lucy.physiapp.com/access/vzdqwdee
Effective URL: https://lucy.physiapp.com/login?access_code=vzdqwdee
Submission: On June 21 via manual from IN — Scanned from DE

Form analysis 1 forms found in the DOM

POST /sign_in

<form class="simple_form new_patient" id="new_patient" action="/sign_in" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓" autocomplete="off"><input type="hidden" name="authenticity_token"
    value="mLJeAHca8JZbJMp8DoAhdkb6g46ft9dBzVDvbonq2vVB79cAFnV69Uxi/oIeOBL3/cpMG6dJ72xCWcFooO072Q==" autocomplete="off">
  <div class="w-form">
    <div class="control-group string required patient_access_code"><label class="string required control-label label " for="patient_access_code">Enter your program code</label>
      <div class="controls"><input minlength="6" maxlength="8" autocomplete="off" class="string required w-input input access-code " value="vzdqwdee" data-test-id="access-code" required="required" aria-required="true" size="8" type="text"
          name="patient[access_code]" id="patient_access_code"></div>
    </div>
  </div>
  <div class="w-form">
    <div class="control-group string required patient_birth_year"><label class="string required control-label label " for="patient_birth_year">Enter your year of birth</label>
      <div class="controls"><input maxlength="4" autocomplete="off" class="string required w-input input access-code " data-test-id="birth-year" required="required" aria-required="true" size="4" type="text" name="patient[birth_year]"
          id="patient_birth_year"></div>
    </div>
  </div>
  <button name="button" type="submit" class="btn link btn-link larger" disabled="" id="login-button" data-test-id="login-button">Access your program</button>
  <div class="set-language w-form js-select-intake-language locale-select">
    <select class="input w-select" data-url="/locale" name="patient[locale]" id="patient_locale">
      <option selected="selected" value="en">English</option>
      <option value="ar">Arabic</option>
      <option value="id">Bahasa Indonesia</option>
      <option value="de">Deutsch</option>
      <option value="es">Español</option>
      <option value="fr">Français</option>
      <option value="it">Italiano</option>
      <option value="nl">Nederlands</option>
      <option value="pl">Polski</option>
      <option value="pt">Português</option>
      <option value="fi">Suomi</option>
      <option value="tr">Türkçe</option>
      <option value="sv">svenska</option>
      <option value="ko">한국어</option>
    </select>
  </div>
</form>

Text Content

Enter your program code

Enter your year of birth

Access your program
English Arabic Bahasa Indonesia Deutsch Español Français Italiano Nederlands
Polski Português Suomi Türkçe svenska 한국어

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