childrensmercy.patientsimple.com Open in urlscan Pro
199.96.233.209  Public Scan

Form analysis
1 forms found in the DOM

Name: loginForm —

<form method="" name="loginForm" novalidate="" ng-submit="submitLoginForm()" ng-show="!isAccountLocked" class="ng-pristine ng-invalid ng-invalid-required"> <span ng-bind-html="getStaticContentItem('guest','#Guest/SignIn')" class="ng-binding"></span>
  <table class="login-form">
    <tbody class="login-block">
      <tr>
        <td class="col-s-12"><label for="UserName"
            ng-bind-html="getStaticContentItem('guest','#Guest/SignInUserName') != null &amp;&amp; getStaticContentItem('guest','#Guest/SignInUserName') != '' ? getStaticContentItem('guest','#Guest/SignInUserName') : 'username / email'"
            class="ng-binding">username / email</label></td>
        <td class="col-s-12"> <input autocomplete="off" ng-model="userName" ng-maxlength="50" autofocus="true" required="" id="UserName" name="userName" type="email" tabindex="1" value="" ng-blur="checkAdmin()"
            class="ng-pristine ng-valid-email ng-valid-maxlength ng-invalid ng-invalid-required"> <span class="ng-hide" ng-show="submitted &amp;&amp; loginForm.userName.$invalid" for="UserName"> <span ng-show="loginForm.userName.$error.required"
              for="UserName" generated="true" ng-bind-html="getStaticContentItem('guest','#Guest/Index/Required')" class="field-validation-error ng-binding">Required</span> <span ng-show="loginForm.userName.$error.email" for="UserName"
              ng-bind-html="getStaticContentItem('guest','#Guest/Index/ValidEmail')" class="field-validation-error ng-binding ng-hide">Please enter a valid email address.</span> <span ng-show="loginForm.userName.$error.maxlength" for="UserName"
              ng-bind-html="getStaticContentItem('guest','#Guest/Index/EmailLength')" class="field-validation-error ng-binding ng-hide">Maximum field length (50)</span> </span> </td>
      </tr>
      <tr>
        <td class="col-s-12"><label for="Password" ng-bind-html="getStaticContentItem('guest','#Guest/Index/Password')" class="ng-binding">password</label></td>
        <td class="col-s-12"> <input required="" ng-model="password" autocomplete="off" class="input-password ng-pristine ng-invalid ng-invalid-required" data-val="true" tabindex="2" name="password" type="password">
          <a class="input-help" href="#resetpassword" tabindex="4"><span class="ng-binding" ng-bind-html="getStaticContentItem('guest','#Guest/Index/ForgotPassword')">Forgot your password?</span> <span class="icon-arrow-right"></span></a> <span
            ng-show="submitted &amp;&amp; loginForm.password.$invalid" for="Password" class="ng-hide"> <span class="field-validation-error ng-binding" for="Password" generated="true" ng-show="loginForm.password.$error.required"
              ng-bind-html="getStaticContentItem('guest','#Guest/Index/Required')">Required</span> </span> </td>
      </tr>
      <tr>
        <td class="col-s-12"> <br>
          <section> <button tabindex="3" type="submit" ng-bind-html="getStaticContentItem('guest','#Guest/Index/Login')" class="ng-binding">Login</button> <span ng-bind-html="getStaticContentItem('guest','#Guest/RegisterButton')"
              class="ng-binding"><a class="button" href="#/enroll"> Sign Up Now!</a></span> </section>
        </td>
      </tr>
      <tr>
        <td class="col-s-12"></td>
      </tr>
      <tr>
        <td class="col-s-12"><span ng-hide="siteConfig.Guest.IsQuickPayDisabled" class="btn-quick-pay ng-binding"
            ng-bind-html="getStaticContentItem('guest','#Guest/QuickPaymentButton')"><a class="button" href="#/quickpayment">Quick-pay without Login</a></span></td>
      </tr>
    </tbody>
  </table>
  <div ng-bind-html="getStaticContentItem('guest','#Guest/ExistingUsersMessage')" class="ng-binding">
    <article class="notify">
      <p>Children's Mercy is devoted to providing high quality healthcare and exceptional customer service for our patient's and families.</p>
      <p>This commitment extends to the billing process and Patient Financial Services. If you have any questions related to your statement, please contact Patient Financial Services @ 816-701-5100.</p>
    </article>
  </div>
</form>

Text Content

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WELCOME TO CHILDREN'S MERCY PATIENT FINANCIAL SERVICES ONLINE

Quick-pay without Login

Children's Mercy is devoted to providing high quality healthcare and exceptional
customer service for our patient's and families.

This commitment extends to the billing process and Patient Financial Services.
If you have any questions related to your statement, please contact Patient
Financial Services @ 816-701-5100.


PATIENT SIGN-IN OR ENROLL


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username / email Required Please enter a valid email address. Maximum field
length (50) password Forgot your password? Required

Login Sign Up Now!
Quick-pay without Login

Children's Mercy is devoted to providing high quality healthcare and exceptional
customer service for our patient's and families.

This commitment extends to the billing process and Patient Financial Services.
If you have any questions related to your statement, please contact Patient
Financial Services @ 816-701-5100.


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