care.springhealth.com
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13.249.39.15
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Submitted URL: https://links.springhealth.com/u/click?_t=accc26ce9d6f4136bb2575ae7b5f7f35&_m=825680c4430b4edb943bcff08399755d&_e=2eIwt...
Effective URL: https://care.springhealth.com/register?cohort_id=986a392a-9ac6-4e22-9a42-c92e72595392&customer_id=9550fe2f-0dbf-41a4-9b34-8a04...
Submission: On January 30 via api from CA — Scanned from CA
Effective URL: https://care.springhealth.com/register?cohort_id=986a392a-9ac6-4e22-9a42-c92e72595392&customer_id=9550fe2f-0dbf-41a4-9b34-8a04...
Submission: On January 30 via api from CA — Scanned from CA
Form analysis 1 forms found in the DOM
<form>
<div class="css-180d9g3">
<div class="css-0">
<h2 class="chakra-heading css-n66ovr" data-cy="create-account-heading">We found your benefit</h2>
<p class="chakra-text css-z3wja9">Finish creating your account. It will only take a moment. Not you? <a class="chakra-link css-sd83up" href="/register" mptracking="[object Object]">Sign up here</a></p>
</div>
<div class="css-0">
<div role="group" class="chakra-form-control css-yc3gj1"><label for="first_name" id="field-6-label" class="chakra-form__label css-1uaxxu6">Your legal first name</label>
<div role="group" class="chakra-form-control css-1kxonj9">
<div class="css-gg4vpm"></div>
<div class="chakra-input__group css-4302v8"><input name="first_name" type="text" autocomplete="given-name" data-cy="your-legal-first-name" id="first_name" class="chakra-input css-1pmzxtd" aria-describedby="field-5-helptext"></div>
<div id="field-5-helptext" class="chakra-form__helper-text css-1a61q9d"></div>
</div>
</div>
<div role="group" class="chakra-form-control css-yc3gj1"><label for="last_name" id="field-8-label" class="chakra-form__label css-1uaxxu6">Your legal last name</label>
<div role="group" class="chakra-form-control css-1kxonj9">
<div class="css-gg4vpm"></div>
<div class="chakra-input__group css-4302v8"><input name="last_name" type="text" autocomplete="family-name" data-cy="your-legal-last-name" id="last_name" class="chakra-input css-1pmzxtd" aria-describedby="field-7-helptext"></div>
<div id="field-7-helptext" class="chakra-form__helper-text css-1a61q9d"></div>
</div>
</div>
<div role="group" class="chakra-form-control css-vbkxu7">
<div role="group" class="chakra-form-control css-yc3gj1"><label for="date_of_birth" id="field-10-label" class="chakra-form__label css-1uaxxu6">Date of birth</label>
<div role="group" class="chakra-form-control css-1kxonj9">
<div class="css-gg4vpm"></div>
<div class="chakra-input__group css-4302v8"><input name="date_of_birth" type="date" autocomplete="bday" data-cy="date-of-birth" data-testid="date-of-birth" min="1900-01-01" id="date_of_birth" class="chakra-input css-1735kgo"
aria-describedby="field-9-helptext"></div>
<div id="field-9-helptext" class="chakra-form__helper-text css-1a61q9d"></div>
</div>
</div>
<div class="css-1308ome">
<div role="group" class="chakra-form-control css-yc3gj1"><label for="email" id="field-12-label" class="chakra-form__label css-1uaxxu6">Work Email</label>
<div role="group" class="chakra-form-control css-1kxonj9">
<div class="css-gg4vpm"></div>
<div class="chakra-input__group css-4302v8"><input name="email" type="email" autocomplete="email" data-cy="email-input" id="email" class="chakra-input css-1pmzxtd" aria-describedby="field-11-helptext"></div>
<div id="field-11-helptext" class="chakra-form__helper-text css-1a61q9d"></div>
</div>
<p class="chakra-text css-11ffwsh">This can be any email you’d like. All communications will be sent here.</p>
</div>
</div>
<div role="group" class="chakra-form-control css-2h5nwg"><label for="password" id="field-14-label" class="chakra-form__label css-1uaxxu6">Password</label>
<div class="chakra-input__group css-4302v8">
<div role="group" class="chakra-form-control css-1kxonj9">
<div class="css-gg4vpm"></div>
<div class="chakra-input__group css-4302v8"><input name="password" type="password" autocomplete="new-password" data-cy="password-input" id="password" class="chakra-input css-1fob82a" aria-describedby="field-13-helptext"></div>
<div id="field-13-helptext" class="chakra-form__helper-text css-1a61q9d"></div>
</div>
<div class="chakra-input__right-element css-m510vv"><button type="button" class="chakra-button css-bbnk2u" aria-label="Show password"><svg viewBox="0 0 24 24" focusable="false" class="chakra-icon css-11yx8xp" aria-label="Closed eye icon"
role="img" aria-hidden="true">
<path fill-rule="evenodd" clip-rule="evenodd"
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fill="currentColor"></path>
</svg></button></div>
</div>
</div>
<div role="group" class="chakra-form-control css-1kxonj9">
<div class="css-13gbmvt">
<div class="chakra-stack css-m1uzs"><label class="chakra-checkbox css-d79n8v" data-cy="tos-privacy-notice-checkbox"><input class="chakra-checkbox__input" type="checkbox" name="privacy_policies" id="field-15" required=""
aria-invalid="false" aria-disabled="false" value="" style="border: 0px; clip: rect(0px, 0px, 0px, 0px); height: 1px; width: 1px; margin: -1px; padding: 0px; overflow: hidden; white-space: nowrap; position: absolute;"><span
class="chakra-checkbox__control css-j7coei" aria-hidden="true"></span></label>
<div class="css-1762y1r"><label id="field-15-label" for="field-15" class="chakra-form__label css-kyu9z8">I agree to Spring's <a href="#"></a><a class="chakra-link css-sd83up">Terms of Service</a>
and<a href="#"></a><a class="chakra-link css-1vbpat4">Privacy Policy</a>.</label></div>
</div>
</div>
</div>
<div role="group" class="chakra-form-control css-1kxonj9">
<div class="css-13gbmvt">
<div class="chakra-stack css-84zodg"><label class="chakra-checkbox css-d79n8v" data-cy="informed-consent-checkbox"><input class="chakra-checkbox__input" type="checkbox" name="informed_consent" id="field-16" required=""
aria-invalid="false" aria-disabled="false" value="" style="border: 0px; clip: rect(0px, 0px, 0px, 0px); height: 1px; width: 1px; margin: -1px; padding: 0px; overflow: hidden; white-space: nowrap; position: absolute;"><span
class="chakra-checkbox__control css-j7coei" aria-hidden="true"></span></label>
<div class="css-0"><label id="field-16-label" for="field-16" class="chakra-form__label css-kyu9z8">I agree to Spring Health’s<a href="#"></a><a class="chakra-link css-1cy1wj5">Informed Consent</a>.</label></div>
</div>
</div>
</div>
<div role="group" class="chakra-form-control css-1kxonj9">
<div class="css-13gbmvt">
<div class="chakra-stack css-m1uzs"><label class="chakra-checkbox css-d79n8v" data-cy="hippa-privacy-notice-checkbox"><input class="chakra-checkbox__input" type="checkbox" name="hipaa_privacy_policy" id="field-17" required=""
aria-invalid="false" aria-disabled="false" value="" style="border: 0px; clip: rect(0px, 0px, 0px, 0px); height: 1px; width: 1px; margin: -1px; padding: 0px; overflow: hidden; white-space: nowrap; position: absolute;"><span
class="chakra-checkbox__control css-j7coei" aria-hidden="true"></span></label>
<div class="css-1762y1r"><label id="field-17-label" for="field-17" class="chakra-form__label css-kyu9z8">I agree to Spring Health’s<a href="#"></a><a class="chakra-link css-1vbpat4">HIPAA Privacy Notice</a>.</label></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="css-1u6orzp">
<div class="css-3dka2x"><button type="submit" class="chakra-button css-1idjwv2" data-cy="create-account-button">Create Account</button></div>
</div>
</form>Text Content
Skip to content Spring Health Logo EN Help Log in Welcome Hand WELCOME, ANTHONY! We’re so excited you’re here. Get free, and confidential mental health care that fits your needs. Watering plant 6 FREE THERAPY SESSIONS A YEAR In addition, get free access to on-demand wellness exercises to improve your sleep, help you manage stress, and more. Book Session CONFIDENTIAL CARE ON YOUR TIME Match with a provider and schedule an appointment within 2 days of signing up, including nights and weekends. Care Navigator HIGH-QUALITY, DIVERSE PROVIDERS Search for someone by specialty, gender, ethnicity, language, and more. Our providers are as diverse as the people we support. © 2022 Spring Care, Inc. All rights reserved. Privacy PolicyTerms of Service WE FOUND YOUR BENEFIT Finish creating your account. It will only take a moment. Not you? Sign up here Your legal first name Your legal last name Date of birth Work Email This can be any email you’d like. All communications will be sent here. Password I agree to Spring's Terms of Service andPrivacy Policy. I agree to Spring Health’sInformed Consent. I agree to Spring Health’sHIPAA Privacy Notice. Create Account