mychart.piedmont.org
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urlscan Pro
66.22.1.204
Public Scan
Submitted URL: https://mychart.piedmont.org/prd/s/ZEFQQFW6QMELI5HH4EILJ5A2LA/NoAcctLogin
Effective URL: https://mychart.piedmont.org/PRD/Authentication/SecondaryValidation
Submission: On August 08 via manual from DE — Scanned from DE
Effective URL: https://mychart.piedmont.org/PRD/Authentication/SecondaryValidation
Submission: On August 08 via manual from DE — Scanned from DE
Form analysis 1 forms found in the DOM
<form id="two-factor-wrapper-form" autocomplete="off">
<div class="grid padded">
<div class="row">
<div class="col-12">
<h1 id="twoFactorHeader" class="alignCenter">Verify Your Identity</h1>
</div>
</div>
<div class="grid compact" id="demographicsGrid">
<div class="row" id="demographics-desc-wrapper">
<div class="col-12 alignCenter"><span id="demographics-desc" class="alignCenter">Confirm information for Edith </span><a class="logoutLink" href="/PRD/Home/Logout?skipabandoncurrent=1"> or use a username and password.</a></div>
</div>
<div id="demographics">
<div class="row">
<div class="col-12">
<div class="required alignCenter">Indicates a required field.</div>
</div>
</div>
<div id="dobEntry" class="col-12 alignCenter">
<div class="ghostInput"><label class="required ellipsisOverflow" for="DateOfBirth">Date of Birth</label><input id="DateOfBirth" name="DateOfBirth" class="required demographics-entry" inputmode="numeric" autocomplete="bday" value=""
data-validation-settings="{"required":true,"isDate":true,"isDOB":true,"maxDate":"2023-08-08","format":true}" placeholder="MM/DD/YYYY" aria-describedby="DateOfBirth_message"
aria-required="true" data-invalid="true" data-fieldhistory="[""]" data-fieldhistoryptr="1">
<div class="clearlabel" id="DateOfBirth_autoformatted" aria-live="polite"></div>
</div>
<div id="DateOfBirth_message" data-message-display-for="DateOfBirth" aria-live="polite" aria-atomic="true"></div>
</div>
<div class="row">
<div class="col-12">
<div id="demographics-mismatch-error" aria-live="assertive" class="hidden alert alignCenter"><img src="/PRD/en-US/images/error_circle.png" class="yield" alt=""><span id="demographics-mismatch-error-text">The information you entered does
not match our records.</span></div>
</div>
</div>
</div>
</div>
<div class="grid compact">
<div class="row">
<div id="submitButtonContainer" class="col-12 alignCenter"><span><button type="submit" class="button primary positive disabled" id="submitSecondaryValidation" data-disable-if-invalid="true" disabled=""
title="Verify button. At least one required item is missing a valid response. Please check the form." aria-label="Verify button. At least one required item is missing a valid response. Please check the form.">Verify</button></span>
</div>
</div>
</div>
</div>
</form>Text Content
Error: Please enable JavaScript in your browser before using this site. VERIFY YOUR IDENTITY Confirm information for Edith or use a username and password. Indicates a required field. Date of Birth The information you entered does not match our records. Verify Default ThemeHigh Contrast ThemeMyChart® licensed from Epic Systems Corporation, © 1999 - 2023. Loading...