member.doctorcareanywhere.com Open in urlscan Pro
52.178.222.32  Public Scan

Form analysis
2 forms found in the DOM

POST /SignUpBranded/VerifyActivationCode

<form action="/SignUpBranded/VerifyActivationCode" autocomplete="off" data-ajax="true" data-ajax-failure="ErrorHelper.HandleError" data-ajax-method="POST" data-ajax-success="VerifyActivationCodePage.OnSuccess" id="verifyActivationCodeForm"
  method="post" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden" value="uUjr5Vmz6F7TAZe8GMrbGmGZB8EG-uEOjfKwzjImrDQVZzo-7naCP1WvgylPCTClsKFgIKS2U2cWQNKk6Z-IbvzJVmA1"><input id="Title" name="Title" type="hidden"
    value="Activate using your activation code or membership number"><input id="TokenName" name="TokenName" type="hidden" value="membership number or activation code">
  <div class="left-col-inner branded-bg centered top">
    <div class="inner-top style-1-a">
      <h3 class="white"> Activate using your activation code or membership number </h3>
    </div>
  </div>
  <div class="left-col-inner centered padding-25 fleft">
    <div class="frame frame-grey activation-code">
      <fieldset class="form-row">
        <input class="in-text mp-no-track valid" data-val="true" data-val-length="Activation code maximum input length is 100 characters" data-val-length-max="100" id="ActivationCode" maxlength="100" name="ActivationCode"
          placeholder="Enter your membership number or activation code..." type="text" value="BG98CBH3ZMB9N44485" aria-describedby="ActivationCode-error">
        <span class="error-text"><span class="field-validation-valid" data-valmsg-for="ActivationCode" data-valmsg-replace="true"></span></span>
      </fieldset>
      <div class="btn-wrap full-width-col mb16 fleft">
        <div class="loader-wrap full-width-col fleft">
          <input type="submit" id="submitActivationCodeButton" href="javascript:;" class="btn btn-50 btn-arrow" value="Sign up">
        </div>
      </div>
      <fieldset class="full-width">
        <p class="small-text"> Don't know your membership number or activation code? <a href="javascript:;" class="sign-up-token-reminder link do-trigger-overlay" data-overlay-name="reminder-for-membership-number">Get a reminder</a>
        </p>
      </fieldset>
    </div>
  </div>
</form>

POST /SignUp/VerifyDateOfBirth

<form action="/SignUp/VerifyDateOfBirth" autocomplete="off" data-ajax="true" data-ajax-failure="ErrorHelper.HandleError" data-ajax-method="POST" data-ajax-success="VerifyActivationCodePage.HandleDateOfBirthValidationResult" id="verifyDateOfBirthForm"
  method="post"><input name="__RequestVerificationToken" type="hidden" value="i1U17_0_YvEQWhN-vJxt1LZTNMG5wgZCBIkQ33Rjnalyq8KYTSTScsOOzJQhHoENEFDg6jkjEZGhJN8OCMv9XSEz-441"><input data-val="true"
    data-val-length="Activation code maximum input length is 100 characters" data-val-length-max="100" id="ActivationCode" name="ActivationCode" type="hidden" value="BG98CBH3ZMB9N44485">
  <div class="modal-row modal-form">
    <p class="intro-text margin-bottom-20">Please confirm your account by entering your date of birth:</p>
    <fieldset class="form-row">
      <div class="label-wrap">
        <label class="bolded" for="DateOfBirth">Date of birth</label>
      </div>
      <div class="mid-59">
        <div class="threefielddatetime">
          <div class="third" id="DateOfBirth_DayList">
            <div class="selectric-wrapper selectric-_day selectric-mp-no-track">
              <div class="selectric-hide-select"><select class="_day mp-no-track" data-val="true" data-val-date="The field DateOfBirth must be a date." data-val-minage="You need to be at least 16 years old to sign up" data-val-minage-min="16"
                  data-val-required="Date of birth is required" data-val-threefielddate="Entered date of birth is invalid" data-val-threefielddate-disablestandarddatevalidation="True" id="DateOfBirth_d" name="DateOfBirth" tabindex="-1">
                  <option value="" disabled="">Day...</option>
                  <option value="01">1</option>
                  <option value="02">2</option>
                  <option value="03">3</option>
                  <option value="04">4</option>
                  <option value="05">5</option>
                  <option value="06">6</option>
                  <option value="07">7</option>
                  <option value="08">8</option>
                  <option value="09">9</option>
                  <option value="10">10</option>
                  <option value="11">11</option>
                  <option value="12">12</option>
                  <option value="13">13</option>
                  <option value="14">14</option>
                  <option value="15">15</option>
                  <option value="16">16</option>
                  <option value="17">17</option>
                  <option value="18">18</option>
                  <option value="19">19</option>
                  <option value="20">20</option>
                  <option value="21">21</option>
                  <option value="22">22</option>
                  <option value="23">23</option>
                  <option value="24">24</option>
                  <option value="25">25</option>
                  <option value="26">26</option>
                  <option value="27">27</option>
                  <option value="28">28</option>
                  <option value="29">29</option>
                  <option value="30">30</option>
                  <option value="31">31</option>
                </select></div>
              <div class="selectric"><span class="label">Day...</span><b class="button">▾</b></div>
              <div class="selectric-items" tabindex="-1">
                <div class="selectric-scroll">
                  <ul>
                    <li data-index="0" class="disabled selected">Day...</li>
                    <li data-index="1" class="">1</li>
                    <li data-index="2" class="">2</li>
                    <li data-index="3" class="">3</li>
                    <li data-index="4" class="">4</li>
                    <li data-index="5" class="">5</li>
                    <li data-index="6" class="">6</li>
                    <li data-index="7" class="">7</li>
                    <li data-index="8" class="">8</li>
                    <li data-index="9" class="">9</li>
                    <li data-index="10" class="">10</li>
                    <li data-index="11" class="">11</li>
                    <li data-index="12" class="">12</li>
                    <li data-index="13" class="">13</li>
                    <li data-index="14" class="">14</li>
                    <li data-index="15" class="">15</li>
                    <li data-index="16" class="">16</li>
                    <li data-index="17" class="">17</li>
                    <li data-index="18" class="">18</li>
                    <li data-index="19" class="">19</li>
                    <li data-index="20" class="">20</li>
                    <li data-index="21" class="">21</li>
                    <li data-index="22" class="">22</li>
                    <li data-index="23" class="">23</li>
                    <li data-index="24" class="">24</li>
                    <li data-index="25" class="">25</li>
                    <li data-index="26" class="">26</li>
                    <li data-index="27" class="">27</li>
                    <li data-index="28" class="">28</li>
                    <li data-index="29" class="">29</li>
                    <li data-index="30" class="">30</li>
                    <li data-index="31" class="last">31</li>
                  </ul>
                </div>
              </div><input class="selectric-input" tabindex="0">
            </div>
          </div>
          <div class="third" id="DateOfBirth_MonthList">
            <div class="selectric-wrapper selectric-_month selectric-mp-no-track">
              <div class="selectric-hide-select"><select class="_month mp-no-track" id="DateOfBirth_m" name="DateOfBirth.Month" tabindex="-1">
                  <option value="" disabled="">Month...</option>
                  <option value="01">Januar</option>
                  <option value="02">Februar</option>
                  <option value="03">März</option>
                  <option value="04">April</option>
                  <option value="05">Mai</option>
                  <option value="06">Juni</option>
                  <option value="07">Juli</option>
                  <option value="08">August</option>
                  <option value="09">September</option>
                  <option value="10">Oktober</option>
                  <option value="11">November</option>
                  <option value="12">Dezember</option>
                </select></div>
              <div class="selectric"><span class="label">Month...</span><b class="button">▾</b></div>
              <div class="selectric-items" tabindex="-1">
                <div class="selectric-scroll">
                  <ul>
                    <li data-index="0" class="disabled selected">Month...</li>
                    <li data-index="1" class="">Januar</li>
                    <li data-index="2" class="">Februar</li>
                    <li data-index="3" class="">März</li>
                    <li data-index="4" class="">April</li>
                    <li data-index="5" class="">Mai</li>
                    <li data-index="6" class="">Juni</li>
                    <li data-index="7" class="">Juli</li>
                    <li data-index="8" class="">August</li>
                    <li data-index="9" class="">September</li>
                    <li data-index="10" class="">Oktober</li>
                    <li data-index="11" class="">November</li>
                    <li data-index="12" class="last">Dezember</li>
                  </ul>
                </div>
              </div><input class="selectric-input" tabindex="0">
            </div>
          </div>
          <div class="third" id="DateOfBirth_YearList">
            <div class="selectric-wrapper selectric-_year selectric-mp-no-track">
              <div class="selectric-hide-select"><select class="_year mp-no-track" id="DateOfBirth_y" name="DateOfBirth.Year" tabindex="-1">
                  <option value="" disabled="">Year...</option>
                  <option value="2022" disabled="disabled">2022</option>
                  <option value="2021" disabled="disabled">2021</option>
                  <option value="2020" disabled="disabled">2020</option>
                  <option value="2019" disabled="disabled">2019</option>
                  <option value="2018" disabled="disabled">2018</option>
                  <option value="2017" disabled="disabled">2017</option>
                  <option value="2016" disabled="disabled">2016</option>
                  <option value="2015" disabled="disabled">2015</option>
                  <option value="2014" disabled="disabled">2014</option>
                  <option value="2013" disabled="disabled">2013</option>
                  <option value="2012" disabled="disabled">2012</option>
                  <option value="2011" disabled="disabled">2011</option>
                  <option value="2010" disabled="disabled">2010</option>
                  <option value="2009" disabled="disabled">2009</option>
                  <option value="2008" disabled="disabled">2008</option>
                  <option value="2007" disabled="disabled">2007</option>
                  <option value="2006">2006</option>
                  <option value="2005">2005</option>
                  <option value="2004">2004</option>
                  <option value="2003">2003</option>
                  <option value="2002">2002</option>
                  <option value="2001">2001</option>
                  <option value="2000">2000</option>
                  <option value="1999">1999</option>
                  <option value="1998">1998</option>
                  <option value="1997">1997</option>
                  <option value="1996">1996</option>
                  <option value="1995">1995</option>
                  <option value="1994">1994</option>
                  <option value="1993">1993</option>
                  <option value="1992">1992</option>
                  <option value="1991">1991</option>
                  <option value="1990">1990</option>
                  <option value="1989">1989</option>
                  <option value="1988">1988</option>
                  <option value="1987">1987</option>
                  <option value="1986">1986</option>
                  <option value="1985">1985</option>
                  <option value="1984">1984</option>
                  <option value="1983">1983</option>
                  <option value="1982">1982</option>
                  <option value="1981">1981</option>
                  <option value="1980">1980</option>
                  <option value="1979">1979</option>
                  <option value="1978">1978</option>
                  <option value="1977">1977</option>
                  <option value="1976">1976</option>
                  <option value="1975">1975</option>
                  <option value="1974">1974</option>
                  <option value="1973">1973</option>
                  <option value="1972">1972</option>
                  <option value="1971">1971</option>
                  <option value="1970">1970</option>
                  <option value="1969">1969</option>
                  <option value="1968">1968</option>
                  <option value="1967">1967</option>
                  <option value="1966">1966</option>
                  <option value="1965">1965</option>
                  <option value="1964">1964</option>
                  <option value="1963">1963</option>
                  <option value="1962">1962</option>
                  <option value="1961">1961</option>
                  <option value="1960">1960</option>
                  <option value="1959">1959</option>
                  <option value="1958">1958</option>
                  <option value="1957">1957</option>
                  <option value="1956">1956</option>
                  <option value="1955">1955</option>
                  <option value="1954">1954</option>
                  <option value="1953">1953</option>
                  <option value="1952">1952</option>
                  <option value="1951">1951</option>
                  <option value="1950">1950</option>
                  <option value="1949">1949</option>
                  <option value="1948">1948</option>
                  <option value="1947">1947</option>
                  <option value="1946">1946</option>
                  <option value="1945">1945</option>
                  <option value="1944">1944</option>
                  <option value="1943">1943</option>
                  <option value="1942">1942</option>
                  <option value="1941">1941</option>
                  <option value="1940">1940</option>
                  <option value="1939">1939</option>
                  <option value="1938">1938</option>
                  <option value="1937">1937</option>
                  <option value="1936">1936</option>
                  <option value="1935">1935</option>
                  <option value="1934">1934</option>
                  <option value="1933">1933</option>
                  <option value="1932">1932</option>
                  <option value="1931">1931</option>
                  <option value="1930">1930</option>
                  <option value="1929">1929</option>
                  <option value="1928">1928</option>
                  <option value="1927">1927</option>
                  <option value="1926">1926</option>
                  <option value="1925">1925</option>
                  <option value="1924">1924</option>
                  <option value="1923">1923</option>
                  <option value="1922">1922</option>
                  <option value="1921">1921</option>
                  <option value="1920">1920</option>
                  <option value="1919">1919</option>
                  <option value="1918">1918</option>
                  <option value="1917">1917</option>
                  <option value="1916">1916</option>
                  <option value="1915">1915</option>
                  <option value="1914">1914</option>
                  <option value="1913">1913</option>
                  <option value="1912">1912</option>
                  <option value="1911">1911</option>
                  <option value="1910">1910</option>
                  <option value="1909">1909</option>
                  <option value="1908">1908</option>
                  <option value="1907">1907</option>
                  <option value="1906">1906</option>
                  <option value="1905">1905</option>
                  <option value="1904">1904</option>
                  <option value="1903">1903</option>
                  <option value="1902">1902</option>
                  <option value="1901">1901</option>
                  <option value="1900">1900</option>
                </select></div>
              <div class="selectric"><span class="label">Year...</span><b class="button">▾</b></div>
              <div class="selectric-items" tabindex="-1">
                <div class="selectric-scroll">
                  <ul>
                    <li data-index="0" class="disabled selected">Year...</li>
                    <li data-index="1" class="disabled">2022</li>
                    <li data-index="2" class="disabled">2021</li>
                    <li data-index="3" class="disabled">2020</li>
                    <li data-index="4" class="disabled">2019</li>
                    <li data-index="5" class="disabled">2018</li>
                    <li data-index="6" class="disabled">2017</li>
                    <li data-index="7" class="disabled">2016</li>
                    <li data-index="8" class="disabled">2015</li>
                    <li data-index="9" class="disabled">2014</li>
                    <li data-index="10" class="disabled">2013</li>
                    <li data-index="11" class="disabled">2012</li>
                    <li data-index="12" class="disabled">2011</li>
                    <li data-index="13" class="disabled">2010</li>
                    <li data-index="14" class="disabled">2009</li>
                    <li data-index="15" class="disabled">2008</li>
                    <li data-index="16" class="disabled">2007</li>
                    <li data-index="17" class="">2006</li>
                    <li data-index="18" class="">2005</li>
                    <li data-index="19" class="">2004</li>
                    <li data-index="20" class="">2003</li>
                    <li data-index="21" class="">2002</li>
                    <li data-index="22" class="">2001</li>
                    <li data-index="23" class="">2000</li>
                    <li data-index="24" class="">1999</li>
                    <li data-index="25" class="">1998</li>
                    <li data-index="26" class="">1997</li>
                    <li data-index="27" class="">1996</li>
                    <li data-index="28" class="">1995</li>
                    <li data-index="29" class="">1994</li>
                    <li data-index="30" class="">1993</li>
                    <li data-index="31" class="">1992</li>
                    <li data-index="32" class="">1991</li>
                    <li data-index="33" class="">1990</li>
                    <li data-index="34" class="">1989</li>
                    <li data-index="35" class="">1988</li>
                    <li data-index="36" class="">1987</li>
                    <li data-index="37" class="">1986</li>
                    <li data-index="38" class="">1985</li>
                    <li data-index="39" class="">1984</li>
                    <li data-index="40" class="">1983</li>
                    <li data-index="41" class="">1982</li>
                    <li data-index="42" class="">1981</li>
                    <li data-index="43" class="">1980</li>
                    <li data-index="44" class="">1979</li>
                    <li data-index="45" class="">1978</li>
                    <li data-index="46" class="">1977</li>
                    <li data-index="47" class="">1976</li>
                    <li data-index="48" class="">1975</li>
                    <li data-index="49" class="">1974</li>
                    <li data-index="50" class="">1973</li>
                    <li data-index="51" class="">1972</li>
                    <li data-index="52" class="">1971</li>
                    <li data-index="53" class="">1970</li>
                    <li data-index="54" class="">1969</li>
                    <li data-index="55" class="">1968</li>
                    <li data-index="56" class="">1967</li>
                    <li data-index="57" class="">1966</li>
                    <li data-index="58" class="">1965</li>
                    <li data-index="59" class="">1964</li>
                    <li data-index="60" class="">1963</li>
                    <li data-index="61" class="">1962</li>
                    <li data-index="62" class="">1961</li>
                    <li data-index="63" class="">1960</li>
                    <li data-index="64" class="">1959</li>
                    <li data-index="65" class="">1958</li>
                    <li data-index="66" class="">1957</li>
                    <li data-index="67" class="">1956</li>
                    <li data-index="68" class="">1955</li>
                    <li data-index="69" class="">1954</li>
                    <li data-index="70" class="">1953</li>
                    <li data-index="71" class="">1952</li>
                    <li data-index="72" class="">1951</li>
                    <li data-index="73" class="">1950</li>
                    <li data-index="74" class="">1949</li>
                    <li data-index="75" class="">1948</li>
                    <li data-index="76" class="">1947</li>
                    <li data-index="77" class="">1946</li>
                    <li data-index="78" class="">1945</li>
                    <li data-index="79" class="">1944</li>
                    <li data-index="80" class="">1943</li>
                    <li data-index="81" class="">1942</li>
                    <li data-index="82" class="">1941</li>
                    <li data-index="83" class="">1940</li>
                    <li data-index="84" class="">1939</li>
                    <li data-index="85" class="">1938</li>
                    <li data-index="86" class="">1937</li>
                    <li data-index="87" class="">1936</li>
                    <li data-index="88" class="">1935</li>
                    <li data-index="89" class="">1934</li>
                    <li data-index="90" class="">1933</li>
                    <li data-index="91" class="">1932</li>
                    <li data-index="92" class="">1931</li>
                    <li data-index="93" class="">1930</li>
                    <li data-index="94" class="">1929</li>
                    <li data-index="95" class="">1928</li>
                    <li data-index="96" class="">1927</li>
                    <li data-index="97" class="">1926</li>
                    <li data-index="98" class="">1925</li>
                    <li data-index="99" class="">1924</li>
                    <li data-index="100" class="">1923</li>
                    <li data-index="101" class="">1922</li>
                    <li data-index="102" class="">1921</li>
                    <li data-index="103" class="">1920</li>
                    <li data-index="104" class="">1919</li>
                    <li data-index="105" class="">1918</li>
                    <li data-index="106" class="">1917</li>
                    <li data-index="107" class="">1916</li>
                    <li data-index="108" class="">1915</li>
                    <li data-index="109" class="">1914</li>
                    <li data-index="110" class="">1913</li>
                    <li data-index="111" class="">1912</li>
                    <li data-index="112" class="">1911</li>
                    <li data-index="113" class="">1910</li>
                    <li data-index="114" class="">1909</li>
                    <li data-index="115" class="">1908</li>
                    <li data-index="116" class="">1907</li>
                    <li data-index="117" class="">1906</li>
                    <li data-index="118" class="">1905</li>
                    <li data-index="119" class="">1904</li>
                    <li data-index="120" class="">1903</li>
                    <li data-index="121" class="">1902</li>
                    <li data-index="122" class="">1901</li>
                    <li data-index="123" class="last">1900</li>
                  </ul>
                </div>
              </div><input class="selectric-input" tabindex="0">
            </div>
          </div>
        </div>
      </div>
      <span class="error-text bottom-text">
        <span class="field-validation-valid" data-valmsg-for="DateOfBirth" data-valmsg-replace="true"></span>
      </span>
    </fieldset>
  </div>
  <div class="modal-row border-top">
    <div class="btn-wrap">
      <div class="loader-wrap">
        <input type="submit" id="submitDateOfBirthButton" class="btn btn-34 disabled" value="Continue" disabled="disabled" data-click-event="submitDateOfBirthButton">
      </div>
    </div>
  </div>
</form>

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ACTIVATE USING YOUR ACTIVATION CODE OR MEMBERSHIP NUMBER

Don't know your membership number or activation code? Get a reminder


ACTIVATING YOUR ACCOUNT - WHAT YOU'LL NEED…

1

YOUR MEMBERSHIP NUMBER OR ACTIVATION CODE

If you cannot find this, click the 'Get a reminder' link above

2

PHOTO ID

You can use a passport, drivers licence, identity card or residence permit card.

3

CAMERA ACCESS

You'll need to be able to take a selfie on the phone or computer you're using.



SUPPORT

Can't find your membership number or activation code?



You can find your membership number on your membership documents. Your
activation code can be found in the email sent inviting you to register.



Need a helping hand or your membership number or activation code isn't working?

Read our FAQs or contact our patient support team



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HERE'S A REMINDER OF HOW TO FIND YOUR MEMBERSHIP NUMBER OR ACTIVATION CODE

You can find your membership number on your membership documents. Your
activation code can be found in the email sent inviting you to register.



NEED A HELPING HAND?

If you need some help activating, or your membership number or activation code
is not being recognised, pop our team an email on
contactus@doctorcareanywhere.com or give us a call on +44 (0)330 088 4980. We'd
be delighted to help. You can also find our FAQs here.

ACTIVATION CODE RECOGNISED

Welcome to your Annual Worldwide Membership for 1 person



Please confirm your account by entering your date of birth:

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Day...▾
 * Day...
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 * Juli
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 * September
 * Oktober
 * November
 * Dezember

Year...202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900
Year...▾
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 * 1994
 * 1993
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 * 1991
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 * 1989
 * 1988
 * 1987
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 * 1914
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 * 1912
 * 1911
 * 1910
 * 1909
 * 1908
 * 1907
 * 1906
 * 1905
 * 1904
 * 1903
 * 1902
 * 1901
 * 1900