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13.225.214.53  Public Scan

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URL: https://chat-spaulding-staging.aretihealth.com/
Submission: On March 26 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

<form class="Twilio-DynamicForm css-1q82v9z">
  <div class="css-pdm40g">Welcome! I am the Spaulding Clinical AI assistant knowledgeable about the Marvel study. I speak natural English and can answer any questions and discuss any concerns you may have. I can pre-qualify you for this study and
    schedule your screening appointment with the clinic.</div>
  <div class="css-1iuo08m"><label class="css-8ixmbd">What is your first name? *</label>
    <div class="jss14 jss1 css-x65cb4"><input class="jss24 jss9" name="friendlyName" placeholder="Enter your first name" type="text" value=""></div>
  </div>
  <div class="css-1iuo08m"><label class="css-8ixmbd">What is your mobile phone number? *</label>
    <div class="jss14 jss1 css-x65cb4"><input class="jss24 jss9 jss27 jss12" name="phone-twilio" placeholder="Enter your mobile phone number" type="phone" value=""></div>
  </div>
  <div class="css-1iuo08m"><label class="css-8ixmbd">Ask a question or tell us to schedule the initial appointment to start a chat.</label>
    <div class="jss14 jss1 jss22 jss7 css-8nck9m"><textarea class="jss24 jss9 jss26 jss11" name="question" placeholder="Type your question here" rows="2"></textarea></div>
  </div><button class="Twilio-Button Twilio-DynamicForm-submit css-512oh4" disabled="">Get Started</button>
</form>

Text Content

You need to enable JavaScript to run this app.

Welcome! I am the Spaulding Clinical AI assistant knowledgeable about the Marvel
study. I speak natural English and can answer any questions and discuss any
concerns you may have. I can pre-qualify you for this study and schedule your
screening appointment with the clinic.
What is your first name? *

What is your mobile phone number? *

Ask a question or tell us to schedule the initial appointment to start a chat.

Get Started
By entering your phone number on this form, you consent to receiving text
communications from Spaulding Clinical for current and future studies. Message
and data rates may apply.

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