care.springhealth.com Open in urlscan Pro
2600:9000:2490:c000:b:7ced:4b40:93a1  Public Scan

Submitted URL: https://links.springhealth.com/u/click?_t=accc26ce9d6f4136bb2575ae7b5f7f35&_m=7353f84417cd4070ac99a655d6d4f9b0&_e=l2obo...
Effective URL: https://care.springhealth.com/register?utm_medium=email&utm_source=iterable&utm_campaign=augustmac%2Bnecl%2Bvariant2b&utm_cont...
Submission: On August 03 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form>
  <h2 class="chakra-heading css-2cetci">Let’s find your benefit</h2>
  <div role="group" class="chakra-form-control css-yc3gj1"><label for="email" id="field-5-label" class="chakra-form__label css-1uaxxu6">Your work email</label>
    <div class="chakra-input__group css-4302v8"><input name="email" type="email" autocomplete="email" data-cy="your-work-email-input" id="email" required="" aria-required="true" class="chakra-input css-lfqfjl">
      <div class="chakra-input__right-element css-m510vv"></div>
    </div>
  </div>
  <div class="chakra-stack css-1pgdy8i"><svg viewBox="0 0 22 22" focusable="false" class="chakra-icon css-1tvqkw4" aria-label="Lock icon" role="img">
      <path
        d="M12.8 13C12.8 13.7403 12.3979 14.3866 11.8 14.7324V17C11.8 17.5523 11.3523 18 10.8 18C10.2478 18 9.80005 17.5523 9.80005 17V14.7324C9.20225 14.3866 8.80005 13.7403 8.80005 13C8.80005 11.8954 9.69548 11 10.8 11C11.9046 11 12.8 11.8954 12.8 13Z"
        fill="currentColor"></path>
      <path
        d="M10.8 0C8.03863 0 5.80005 2.23858 5.80005 5V7.58152C2.86822 8.76829 0.800049 11.6426 0.800049 15V21C0.800049 21.5523 1.24776 22 1.80005 22H12.8C17.2183 22 20.8 18.4183 20.8 14V8C20.8 7.44772 20.3523 7 19.8 7H15.8V5C15.8 2.23858 13.5615 0 10.8 0ZM13.8 7H7.80005V5C7.80005 3.34315 9.14319 2 10.8 2C12.4569 2 13.8 3.34315 13.8 5V7ZM8.80005 9H18.8V14C18.8 17.3137 16.1138 20 12.8 20H2.80005V15C2.80005 11.6863 5.48634 9 8.80005 9Z"
        fill="currentColor"></path>
    </svg>
    <p class="chakra-text css-1nkvlq9">We promise to protect your information and collaborate with you on decisions that affect your health.</p>
  </div>
  <div class="chakra-stack css-1qp3sx5">
    <div class="css-xz9dxs"></div>
    <p class="chakra-text css-15tr5tx">OR</p>
    <div class="css-xz9dxs"></div>
  </div>
  <div class="css-6ya4j0">
    <p class="chakra-text css-1yauaq6">Sign up with your personal information</p>
    <p class="chakra-text css-1iodo02">If you’re a dependent or have no email</p>
  </div>
  <div role="group" class="chakra-form-control css-yc3gj1"><label for="first_name" id="field-6-label" class="chakra-form__label css-1uaxxu6">Your legal first name</label><input name="first_name" type="text" autocomplete="given-name"
      data-cy="your-legal-first-name" id="first_name" required="" aria-required="true" class="chakra-input css-1roz47c"></div>
  <div role="group" class="chakra-form-control css-yc3gj1"><label for="last_name" id="field-7-label" class="chakra-form__label css-1uaxxu6">Your legal last name</label><input name="last_name" type="text" autocomplete="family-name"
      data-cy="your-legal-last-name" id="last_name" required="" aria-required="true" class="chakra-input css-1roz47c"></div>
  <div role="group" class="chakra-form-control css-yc3gj1"><label for="date_of_birth" id="field-8-label" class="chakra-form__label css-1uaxxu6">Date of birth</label><input name="date_of_birth" type="date" autocomplete="bday" data-cy="date-of-birth"
      min="1900-01-01" id="date_of_birth" required="" aria-required="true" class="chakra-input css-1xzi638"></div>
</form>

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We promise to protect your information and collaborate with you on decisions
that affect your health.

OR



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If you’re a dependent or have no email

Your legal first name
Your legal last name
Date of birth
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