patient.medeohealth.com
Open in
urlscan Pro
23.3.88.65
Public Scan
URL:
https://patient.medeohealth.com/settings/invitations/971ddf1a-d630-41d0-aadd-6d6ac4e254bd?login_hint=ml4DBNYK3aVbWjS4InAZy8%2B3p...
Submission: On November 24 via manual from CH — Scanned from DE
Submission: On November 24 via manual from CH — Scanned from DE
Form analysis 2 forms found in the DOM
<form _ngcontent-iie-c239="" novalidate="" class="ng-untouched ng-pristine ng-invalid"><mat-form-field _ngcontent-iie-c239="" appearance="fill"
class="mat-form-field qhr-idp-sign-up__field qhr-idp-sign-up__field-long-hint ng-tns-c79-1 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-should-float mat-form-field-has-label ng-untouched ng-pristine ng-valid ng-star-inserted">
<div class="mat-form-field-wrapper ng-tns-c79-1">
<div class="mat-form-field-flex ng-tns-c79-1"><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-1"><input _ngcontent-iie-c239="" type="email" matinput="" formcontrolname="email" required=""
class="mat-input-element mat-form-field-autofill-control ng-tns-c79-1 ng-untouched ng-pristine ng-valid cdk-text-field-autofill-monitored" aria-describedby="mat-hint-0" id="mat-input-0" readonly="true" aria-invalid="false"
aria-required="true"><span class="mat-form-field-label-wrapper ng-tns-c79-1"><label class="mat-form-field-label ng-tns-c79-1 ng-star-inserted" id="mat-form-field-label-1" for="mat-input-0" aria-owns="mat-input-0"><!----><mat-label
_ngcontent-iie-c239="" class="ng-tns-c79-1 ng-star-inserted">Email Address</mat-label><!----><span aria-hidden="true" class="mat-placeholder-required mat-form-field-required-marker ng-tns-c79-1 ng-star-inserted">
*</span><!----></label><!----></span></div><!---->
</div>
<div class="mat-form-field-underline ng-tns-c79-1 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c79-1"></span></div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-1"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-1 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint _ngcontent-iie-c239=""
class="mat-hint ng-tns-c79-1 ng-star-inserted" id="mat-hint-0" style="">Contact the clinic if you want to update your email</mat-hint><!----><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-1"></div>
</div><!---->
</div>
</div>
</mat-form-field><mat-form-field _ngcontent-iie-c239="" appearance="fill"
class="mat-form-field qhr-idp-sign-up__field qhr-idp-sign-up__field-long-hint ng-tns-c79-2 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid ng-star-inserted">
<div class="mat-form-field-wrapper ng-tns-c79-2">
<div class="mat-form-field-flex ng-tns-c79-2"><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-2"><input _ngcontent-iie-c239="" matinput="" formcontrolname="password" data-test="password-field" required=""
class="mat-input-element mat-form-field-autofill-control ng-tns-c79-2 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" type="password" aria-describedby="mat-hint-1" id="mat-input-1" aria-required="true"><span
class="mat-form-field-label-wrapper ng-tns-c79-2"><label class="mat-form-field-label ng-tns-c79-2 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-3" for="mat-input-1" aria-owns="mat-input-1"><!----><mat-label
_ngcontent-iie-c239="" class="ng-tns-c79-2 ng-star-inserted">Password</mat-label><!----><span aria-hidden="true" class="mat-placeholder-required mat-form-field-required-marker ng-tns-c79-2 ng-star-inserted">
*</span><!----></label><!----></span></div><!---->
</div>
<div class="mat-form-field-underline ng-tns-c79-2 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c79-2"></span></div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-2"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-2 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!----><mat-hint _ngcontent-iie-c239=""
class="mat-hint ng-tns-c79-2 ng-star-inserted" id="mat-hint-1" style="">Use 8 or more characters with a mix of upper/lower case letters, numbers & symbols</mat-hint><!----><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-2"></div>
</div><!---->
</div>
</div>
</mat-form-field><mat-form-field _ngcontent-iie-c239="" appearance="fill"
class="mat-form-field qhr-idp-sign-up__field ng-tns-c79-3 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid ng-star-inserted">
<div class="mat-form-field-wrapper ng-tns-c79-3">
<div class="mat-form-field-flex ng-tns-c79-3"><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-3"><input _ngcontent-iie-c239="" type="text" matinput="" formcontrolname="firstName" required=""
class="mat-input-element mat-form-field-autofill-control ng-tns-c79-3 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" id="mat-input-2" aria-required="true"><span
class="mat-form-field-label-wrapper ng-tns-c79-3"><label class="mat-form-field-label ng-tns-c79-3 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-5" for="mat-input-2" aria-owns="mat-input-2"><!----><mat-label
_ngcontent-iie-c239="" class="ng-tns-c79-3 ng-star-inserted">First Name</mat-label><!----><span aria-hidden="true" class="mat-placeholder-required mat-form-field-required-marker ng-tns-c79-3 ng-star-inserted">
*</span><!----></label><!----></span></div><!---->
</div>
<div class="mat-form-field-underline ng-tns-c79-3 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c79-3"></span></div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-3"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-3 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-3"></div>
</div><!---->
</div>
</div>
</mat-form-field><mat-form-field _ngcontent-iie-c239="" appearance="fill"
class="mat-form-field qhr-idp-sign-up__field ng-tns-c79-4 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid ng-star-inserted">
<div class="mat-form-field-wrapper ng-tns-c79-4">
<div class="mat-form-field-flex ng-tns-c79-4"><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-4"><input _ngcontent-iie-c239="" type="text" matinput="" formcontrolname="lastName" required=""
class="mat-input-element mat-form-field-autofill-control ng-tns-c79-4 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" id="mat-input-3" aria-required="true"><span
class="mat-form-field-label-wrapper ng-tns-c79-4"><label class="mat-form-field-label ng-tns-c79-4 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-7" for="mat-input-3" aria-owns="mat-input-3"><!----><mat-label
_ngcontent-iie-c239="" class="ng-tns-c79-4 ng-star-inserted">Last Name</mat-label><!----><span aria-hidden="true" class="mat-placeholder-required mat-form-field-required-marker ng-tns-c79-4 ng-star-inserted">
*</span><!----></label><!----></span></div><!---->
</div>
<div class="mat-form-field-underline ng-tns-c79-4 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c79-4"></span></div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-4"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-4 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-4"></div>
</div><!---->
</div>
</div>
</mat-form-field></form><form _ngcontent-iie-c240="" novalidate="" class="ng-untouched ng-pristine ng-invalid"><qhr-date-field _ngcontent-iie-c240="" label="Birthday *" class="qhr-medeo-sign-up__field" _nghost-iie-c155="">
<div _ngcontent-iie-c155="" class="qhr-date-field"><mat-label _ngcontent-iie-c155="">Birthday *</mat-label>
<div _ngcontent-iie-c155="" class="qhr-date-field__content"><mat-form-field _ngcontent-iie-c155="" ngdefaultcontrol="" data-test="month"
class="mat-form-field qhr-date-field__month ng-tns-c79-5 mat-primary mat-form-field-type-mat-select mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-valid ng-star-inserted">
<div class="mat-form-field-wrapper ng-tns-c79-5">
<div class="mat-form-field-flex ng-tns-c79-5"><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-5"><mat-select _ngcontent-iie-c155="" role="combobox" aria-autocomplete="none" aria-haspopup="true" placeholder="Month" required=""
class="mat-select ng-tns-c96-6 ng-tns-c79-5 mat-select-required mat-select-empty ng-untouched ng-pristine ng-valid ng-star-inserted" aria-labelledby="mat-form-field-label-9 mat-select-value-1" id="mat-select-0" tabindex="0"
aria-expanded="false" aria-required="true" aria-disabled="false" aria-invalid="false">
<div cdk-overlay-origin="" class="mat-select-trigger ng-tns-c96-6">
<div class="mat-select-value ng-tns-c96-6" id="mat-select-value-1"><span class="mat-select-placeholder mat-select-min-line ng-tns-c96-6 ng-star-inserted">Month</span><!----><!----></div>
<div class="mat-select-arrow-wrapper ng-tns-c96-6">
<div class="mat-select-arrow ng-tns-c96-6"></div>
</div>
</div><!---->
</mat-select><span class="mat-form-field-label-wrapper ng-tns-c79-5"><label class="mat-form-field-label ng-tns-c79-5 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-9" for="mat-select-0"
aria-owns="mat-select-0"><!----><mat-label _ngcontent-iie-c155="" aria-label="Birthday" class="ng-tns-c79-5 ng-star-inserted">Month</mat-label><!----><span aria-hidden="true"
class="mat-placeholder-required mat-form-field-required-marker ng-tns-c79-5 ng-star-inserted"> *</span><!----></label><!----></span></div><!---->
</div>
<div class="mat-form-field-underline ng-tns-c79-5 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c79-5"></span></div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-5"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-5 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-5"></div>
</div><!---->
</div>
</div>
</mat-form-field><mat-form-field _ngcontent-iie-c155="" ngdefaultcontrol="" data-test="day"
class="mat-form-field qhr-date-field__day ng-tns-c79-7 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid ng-star-inserted">
<div class="mat-form-field-wrapper ng-tns-c79-7">
<div class="mat-form-field-flex ng-tns-c79-7"><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-7"><input _ngcontent-iie-c155="" matinput="" autocomplete="off" type="number" pattern="[0-9]*" min="1" max="31" required=""
class="mat-input-element mat-form-field-autofill-control ng-tns-c79-7 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" id="mat-input-4" aria-required="true"><span
class="mat-form-field-label-wrapper ng-tns-c79-7"><label class="mat-form-field-label ng-tns-c79-7 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-11" for="mat-input-4"
aria-owns="mat-input-4"><!----><mat-label _ngcontent-iie-c155="" class="ng-tns-c79-7 ng-star-inserted">Day (DD)</mat-label><!----><span aria-hidden="true"
class="mat-placeholder-required mat-form-field-required-marker ng-tns-c79-7 ng-star-inserted"> *</span><!----></label><!----></span></div><!---->
</div>
<div class="mat-form-field-underline ng-tns-c79-7 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c79-7"></span></div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-7"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-7 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-7"></div>
</div><!---->
</div>
</div>
</mat-form-field><mat-form-field _ngcontent-iie-c155="" ngdefaultcontrol="" data-test="year"
class="mat-form-field qhr-date-field__year ng-tns-c79-8 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid ng-star-inserted">
<div class="mat-form-field-wrapper ng-tns-c79-8">
<div class="mat-form-field-flex ng-tns-c79-8"><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-8"><input _ngcontent-iie-c155="" matinput="" autocomplete="off" type="number" pattern="[0-9]*" min="1912" required=""
class="mat-input-element mat-form-field-autofill-control ng-tns-c79-8 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" id="mat-input-5" aria-required="true"><span
class="mat-form-field-label-wrapper ng-tns-c79-8"><label class="mat-form-field-label ng-tns-c79-8 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-13" for="mat-input-5"
aria-owns="mat-input-5"><!----><mat-label _ngcontent-iie-c155="" class="ng-tns-c79-8 ng-star-inserted">Year (YYYY)</mat-label><!----><span aria-hidden="true"
class="mat-placeholder-required mat-form-field-required-marker ng-tns-c79-8 ng-star-inserted"> *</span><!----></label><!----></span></div><!---->
</div>
<div class="mat-form-field-underline ng-tns-c79-8 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c79-8"></span></div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-8"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-8 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-8"></div>
</div><!---->
</div>
</div>
</mat-form-field></div><!---->
</div>
</qhr-date-field><qhr-phone-type-field _ngcontent-iie-c240="" label="Phone Type *" _nghost-iie-c160="" data-value="mobile">
<div _ngcontent-iie-c160="" class="qhr-phone-type-field"><mat-label _ngcontent-iie-c160="" class="qhr-phone-type-field__label">Phone Type *</mat-label><mat-radio-group _ngcontent-iie-c160="" role="radiogroup" data-test="phone-type-radio"
aria-label="Phone type" ngdefaultcontrol="" class="mat-radio-group qhr-phone-type-field__radiogroup ng-untouched ng-pristine ng-valid"><mat-radio-button _ngcontent-iie-c160=""
class="mat-radio-button qhr-phone-type-field__radio mat-radio-checked mat-accent ng-star-inserted" name="mobile" data-test="mobile" value="mobile" id="mat-radio-2"><label class="mat-radio-label" for="mat-radio-2-input"><span
class="mat-radio-container"><span class="mat-radio-outer-circle"></span><span class="mat-radio-inner-circle"></span><input type="radio" class="mat-radio-input" id="mat-radio-2-input" name="mat-radio-group-0" value="mobile"
tabindex="0"><span mat-ripple="" class="mat-ripple mat-radio-ripple mat-focus-indicator"><span class="mat-ripple-element mat-radio-persistent-ripple"></span></span></span><span class="mat-radio-label-content"><span
style="display: none;"> </span>Mobile</span></label></mat-radio-button><mat-radio-button _ngcontent-iie-c160="" class="mat-radio-button qhr-phone-type-field__radio mat-accent ng-star-inserted" name="home" data-test="home"
value="home" id="mat-radio-3"><label class="mat-radio-label" for="mat-radio-3-input"><span class="mat-radio-container"><span class="mat-radio-outer-circle"></span><span class="mat-radio-inner-circle"></span><input type="radio"
class="mat-radio-input" id="mat-radio-3-input" name="mat-radio-group-0" value="home" tabindex="-1"><span mat-ripple="" class="mat-ripple mat-radio-ripple mat-focus-indicator"><span
class="mat-ripple-element mat-radio-persistent-ripple"></span></span></span><span class="mat-radio-label-content"><span style="display: none;"> </span>Home</span></label></mat-radio-button><mat-radio-button
_ngcontent-iie-c160="" class="mat-radio-button qhr-phone-type-field__radio mat-accent ng-star-inserted" name="work" data-test="work" value="work" id="mat-radio-4"><label class="mat-radio-label" for="mat-radio-4-input"><span
class="mat-radio-container"><span class="mat-radio-outer-circle"></span><span class="mat-radio-inner-circle"></span><input type="radio" class="mat-radio-input" id="mat-radio-4-input" name="mat-radio-group-0" value="work"
tabindex="-1"><span mat-ripple="" class="mat-ripple mat-radio-ripple mat-focus-indicator"><span class="mat-ripple-element mat-radio-persistent-ripple"></span></span></span><span class="mat-radio-label-content"><span
style="display: none;"> </span>Work</span></label></mat-radio-button><!----></mat-radio-group><qhr-form-field-error _ngcontent-iie-c160="" _nghost-iie-c154=""><!----></qhr-form-field-error></div>
</qhr-phone-type-field><qhr-phone-number-field _ngcontent-iie-c240="" label="Phone Number" _nghost-iie-c178="" data-value="">
<div _ngcontent-iie-c178="" class="qhr-phone-number-field"><mat-form-field _ngcontent-iie-c178=""
class="mat-form-field ng-tns-c79-9 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-invalid ng-star-inserted">
<div class="mat-form-field-wrapper ng-tns-c79-9">
<div class="mat-form-field-flex ng-tns-c79-9"><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-9"><input _ngcontent-iie-c178="" data-test="phone-number-input" matinput="" required="" type="tel"
class="mat-input-element mat-form-field-autofill-control ng-tns-c79-9 ng-untouched ng-pristine ng-invalid cdk-text-field-autofill-monitored" id="mat-input-6" data-placeholder="+1 506 234 5678" aria-required="true"><span
class="mat-form-field-label-wrapper ng-tns-c79-9"><label class="mat-form-field-label ng-tns-c79-9 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-15" for="mat-input-6"
aria-owns="mat-input-6"><!----><mat-label _ngcontent-iie-c178="" class="ng-tns-c79-9 ng-star-inserted">Phone Number</mat-label><!----><span aria-hidden="true"
class="mat-placeholder-required mat-form-field-required-marker ng-tns-c79-9 ng-star-inserted"> *</span><!----></label><!----></span></div><!---->
</div>
<div class="mat-form-field-underline ng-tns-c79-9 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c79-9"></span></div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-9"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-9 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-9"></div>
</div><!---->
</div>
</div>
</mat-form-field><qhr-form-field-error _ngcontent-iie-c178="" _nghost-iie-c154=""><!----></qhr-form-field-error></div>
</qhr-phone-number-field><qhr-province-select-field _ngcontent-iie-c240="" data-test="province-select" class="qhr-medeo-sign-up__field" _nghost-iie-c179="" data-value="">
<div _ngcontent-iie-c179="" class="qhr-province-select-field"><mat-form-field _ngcontent-iie-c179=""
class="mat-form-field ng-tns-c79-10 mat-primary mat-form-field-type-mat-select mat-form-field-appearance-fill mat-form-field-can-float mat-form-field-has-label ng-untouched ng-pristine ng-invalid ng-star-inserted mat-form-field-should-float">
<div class="mat-form-field-wrapper ng-tns-c79-10">
<div class="mat-form-field-flex ng-tns-c79-10"><!----><!---->
<div class="mat-form-field-infix ng-tns-c79-10"><mat-select _ngcontent-iie-c179="" role="combobox" aria-autocomplete="none" aria-haspopup="true" required=""
class="mat-select ng-tns-c96-11 ng-tns-c79-10 mat-select-required ng-untouched ng-pristine ng-invalid ng-star-inserted" aria-labelledby="mat-form-field-label-17 mat-select-value-3" id="mat-select-2" tabindex="0" aria-expanded="false"
aria-required="true" aria-disabled="false" aria-invalid="false">
<div cdk-overlay-origin="" class="mat-select-trigger ng-tns-c96-11">
<div class="mat-select-value ng-tns-c96-11" id="mat-select-value-3"><!----><span class="mat-select-value-text ng-tns-c96-11 ng-star-inserted" style=""><span class="mat-select-min-line ng-tns-c96-11 ng-star-inserted">Select
One</span><!----><!----></span><!----></div>
<div class="mat-select-arrow-wrapper ng-tns-c96-11">
<div class="mat-select-arrow ng-tns-c96-11"></div>
</div>
</div><!---->
</mat-select><span class="mat-form-field-label-wrapper ng-tns-c79-10"><label class="mat-form-field-label ng-tns-c79-10 ng-star-inserted" id="mat-form-field-label-17" for="mat-select-2" aria-owns="mat-select-2"><!----><mat-label
_ngcontent-iie-c179="" class="ng-tns-c79-10 ng-star-inserted">Province</mat-label><!----><span aria-hidden="true" class="mat-placeholder-required mat-form-field-required-marker ng-tns-c79-10 ng-star-inserted">
*</span><!----></label><!----></span></div><!---->
</div>
<div class="mat-form-field-underline ng-tns-c79-10 ng-star-inserted"><span class="mat-form-field-ripple ng-tns-c79-10"></span></div><!---->
<div class="mat-form-field-subscript-wrapper ng-tns-c79-10"><!---->
<div class="mat-form-field-hint-wrapper ng-tns-c79-10 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-form-field-hint-spacer ng-tns-c79-10"></div>
</div><!---->
</div>
</div>
</mat-form-field><qhr-form-field-error _ngcontent-iie-c179="" _nghost-iie-c154=""><!----></qhr-form-field-error></div>
</qhr-province-select-field><mat-divider _ngcontent-iie-c240="" role="separator" class="mat-divider qhr-card-divider mat-divider-horizontal" aria-orientation="horizontal"></mat-divider><qhr-checkbox-field _ngcontent-iie-c240=""
data-test="legal-checkbox" label="Terms of Service & Privacy Policy" class="qhr-medeo-sign-up__link" data-value="false">
<div class="qhr-checkbox-field"><mat-checkbox color="primary" class="mat-checkbox mat-primary ng-untouched ng-pristine ng-invalid" id="mat-checkbox-1"><label class="mat-checkbox-layout" for="mat-checkbox-1-input"><span
class="mat-checkbox-inner-container"><input type="checkbox" class="mat-checkbox-input cdk-visually-hidden" id="mat-checkbox-1-input" tabindex="0" aria-checked="false"><span matripple=""
class="mat-ripple mat-checkbox-ripple mat-focus-indicator"><span class="mat-ripple-element mat-checkbox-persistent-ripple"></span></span><span class="mat-checkbox-frame"></span><span class="mat-checkbox-background"><svg version="1.1"
focusable="false" viewBox="0 0 24 24" aria-hidden="true" class="mat-checkbox-checkmark">
<path fill="none" stroke="white" d="M4.1,12.7 9,17.6 20.3,6.3" class="mat-checkbox-checkmark-path"></path>
</svg><span class="mat-checkbox-mixedmark"></span></span></span><span class="mat-checkbox-label"><span style="display: none;"> </span><span _ngcontent-iie-c240="" class="qhr-medeo-sign-up__link-line"> I agree to Medeo's
<a _ngcontent-iie-c240="" aria-label="Terms of Service, opens a new tab in your browser" rel="noopener noreferrer" target="_blank" data-test="terms-of-service" class="qhr-medeo-sign-up__link-anchor" href="https://patient.medeohealth.com/legal/user"> Terms of Service </a>
and
<a _ngcontent-iie-c240="" aria-label="Privacy Policy, opens a new tab in your browser" rel="noopener noreferrer" target="_blank" data-test="privacy-policy" href="https://patient.medeohealth.com/legal/privacy"> Privacy Policy </a></span></span></label></mat-checkbox>
</div>
</qhr-checkbox-field></form>Text Content
JavaScript is required to use this site. Go to your browser settings to enable JavaScript, then refresh the page. See your browser's online help for instructions. YOUR BROWSER ISN'T SUPPORTED Your browser doesn’t support some features on this site. For the best experience, update your browser to the latest version, or switch to another browser. Skip to Content CONNECT WITH YOUR HEALTHCARE PROVIDER FROM ANYWHERE. JOIN MEDEO TODAY Email Address * Contact the clinic if you want to update your email Password * Use 8 or more characters with a mix of upper/lower case letters, numbers & symbols First Name * Last Name * Birthday * Month Month * Day (DD) * Year (YYYY) * Phone Type * Mobile Home Work Phone Number * Select One Province * I agree to Medeo's Terms of Service and Privacy Policy SIGN UP