HTML Report for https://www.uhhospitals.org/health-information/sign-up
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On line 599, column 110 <!DOCTYPE html> <html lang="en"> <head> <meta charset="utf-8"> <meta content="IE=edge" http-equiv="X-UA-Compatible"> <meta name="viewport" content="width=device-width, initial-scale=1"> <meta name="google-site-verification" content="zInPOGJxxqieeM5_iFMkS7QGKZks5AQC2qnB6Lm2mO4" /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.foundation.theming.min.css?v=466203b1b065' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.feature.genericcontent.min.css?v=f6886bf8584c' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.feature.pagecontent.min.css?v=42cf907126e1' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.feature.scheduling.min.css?v=0592171897a2' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.feature.navigation.min.css?v=75ed3b8b033b' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.feature.identity.min.css?v=1af3cf568e3b' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.feature.search.min.css?v=6ce8aa37c7a9' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.feature.accountmanagement.min.css?v=0982a64ad425' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.feature.heroes.min.css?v=6def92b00db4' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.feature.callouts.min.css?v=d41d8cd98f00' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.project.common.min.css?v=6cb57e9efbea' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.project.uhhospitals.min.css?v=d41d8cd98f00' /> <title>Sign Up | University Hospitals</title> <link rel="canonical" href="https://www.uhhospitals.org/health-information/sign-up" /> <meta name="VIcurrentDateTime" content="638495720595460795" /> <script type="text/javascript" src="/layouts/system/VisitorIdentification.js"></script> <script src='/FrontEnd/Scripts/Head/uh.foundation.theming.min.js?v=23f5bcb28dcc'></script> <script> (function (d) { var config = { kitId: 'uqg3jzf', scriptTimeout: 3000, async: true }, h = d.documentElement, t = setTimeout(function () { h.className = h.className.replace(/\bwf-loading\b/g, "") + " wf-inactive"; }, config.scriptTimeout), tk = d.createElement("script"), f = false, s = d.getElementsByTagName("script")[0], a; h.className += " wf-loading"; tk.src = 'https://use.typekit.net/' + config.kitId + '.js'; tk.async = true; tk.onload = tk.onreadystatechange = function () { a = this.readyState; if (f || a && a != "complete" && a != "loaded") return; f = true; clearTimeout(t); try { Typekit.load(config) } catch (e) { } }; s.parentNode.insertBefore(tk, s) })(document); </script> <script src="https://assets.adobedtm.com/b41b10febb33/b58aa2b57d00/launch-cb62158726ea.min.js" async></script> <style> .UH-Feature-GenericContent-CtaBlock { min-height: 296px; } /*.UH-Feature-Heroes-AdvancedHeroHeader-Overlay-Subtitle, .UH-Feature-Heroes-HeroHeader-Overlay-Subtitle { display: none; }*/ .pagemode-edit .UH-Feature-Heroes-AdvancedHeroHeader-Overlay-Subtitle, .pagemode-edit .UH-Feature-Heroes-HeroHeader-Overlay-Subtitle { display: block; } .UH-Feature-Heroes-AdvancedHeroHeader-Overlay h1, .UH-Feature-Heroes-HeroHeader-Overlay h1 { margin: 1rem 0 1rem 0; background: #FFF; } .UH-Feature-Heroes-AdvancedHeroHeader.large .UH-Feature-Heroes-AdvancedHeroHeader-CTAContainer { display: none; } .UH-Feature-Heroes-AdvancedHeroHeader none { background-color: #FFF; } .col-12 .UH-Feature-GenericContent-CtaBlock { min-height: 0; } @media (min-width: 960px) { .UH-Feature-Heroes-HeroHeader-Overlay { padding: 2rem 48px 4em 48px; margin-bottom: 7rem; margin-top: 3rem; } .UH-Feature-Heroes-AdvancedHeroHeader.large, .UH-Feature-Heroes-HeroHeader { min-height: calc(88vh - 281px); } } </style> <link rel="apple-touch-icon" sizes="192x192" href="/FrontEnd/Images/PWA-Icon-192x192.png"> <meta name="apple-mobile-web-app-capable" content="yes" /> <meta name="mobile-web-app-capable" content="yes" /> <meta name="apple-touch-fullscreen" content="yes" /> <link href="/FrontEnd/Images/White-2048x2732.png" sizes="2048x2732" media="screen and (device-width: 1024px) and (device-height: 1366px) and (-webkit-device-pixel-ratio: 2) and (orientation: portrait)" rel="apple-touch-startup-image" /> <link href="/FrontEnd/Images/White-1668x2224.png" sizes="1668x2224" media="screen and (device-width: 834px) and (device-height: 1112px) and (-webkit-device-pixel-ratio: 2) and (orientation: portrait)" rel="apple-touch-startup-image" /> <link href="/FrontEnd/Images/White-1536x2048.png" sizes="1536x2048" media="screen and (device-width: 768px) and (device-height: 1024px) and (-webkit-device-pixel-ratio: 2) and (orientation: portrait)" rel="apple-touch-startup-image" /> <link href="/FrontEnd/Images/White-1125x2436.png" sizes="1125x2436" media="screen and (device-width: 375px) and (device-height: 812px) and (-webkit-device-pixel-ratio: 3) and (orientation: portrait)" rel="apple-touch-startup-image" /> <link href="/FrontEnd/Images/White-1242x2208.png" sizes="1242x2208" media="screen and (device-width: 414px) and (device-height: 736px) and (-webkit-device-pixel-ratio: 3) and (orientation: portrait)" rel="apple-touch-startup-image" /> <link href="/FrontEnd/Images/White-750x1334.png" sizes="750x1334" media="screen and (device-width: 375px) and (device-height: 667px) and (-webkit-device-pixel-ratio: 2) and (orientation: portrait)" rel="apple-touch-startup-image" /> <link href="/FrontEnd/Images/White-640x1136.png" sizes="640x1136" media="screen and (device-width: 320px) and (device-height: 568px) and (-webkit-device-pixel-ratio: 2) and (orientation: portrait)" rel="apple-touch-startup-image" /> <link href="/FrontEnd/Images/White-828x1792.png" sizes="828x1792" media="screen and (device-width: 414px) and (device-height: 896px) and (-webkit-device-pixel-ratio: 2) and (orientation: portrait)" rel="apple-touch-startup-image" /> <link href="/FrontEnd/Images/White-1242x2688.png" sizes="1242x2688" media="screen and (device-width: 414px) and (device-height: 896px) and (-webkit-device-pixel-ratio: 3) and (orientation: portrait)" rel="apple-touch-startup-image" /> </head> <body class="UH-Project-UHHospitals-Default"> <div class="UH-Project-UHHospitals-Default-Accessibility-Links" role="navigation"> <a href="#UH-MainContent" tabindex="1">Skip to main content</a> </div> <a class="UH-Project-UHHospitals-Default-Top" id="top" role="navigation"></a> <div id="UH-MainMenu" class="UH-Project-UHHospitals-Default-Wrapper"> <div class="loading-indicator" role="status" aria-live="assertive"> <div class="loading-indicator-content">Loading Results</div> </div> <div class="UH-Feature-Navigation-PrimaryMenu" role="navigation"> <div class="UH-Feature-Navigation-PrimaryMenu-Header"> <div class="UH-Feature-Navigation-PrimaryMenuButton UH-Feature-Navigation-PrimaryMenuButton-Close"> <button class="UH-Feature-Navigation-PrimaryMenuButton-Link-Close" aria-label="Close the Main Menu">Close</button> </div> </div> <a id="UH-MainMenu-Nav-Top" tabindex="-1"></a> <div class="UH-Feature-Navigation-PrimaryMenu-SubHeader"> <ul class="UH-Feature-Navigation-LinkMenu horizontal"> <li class="UH-Feature-Navigation-LinkMenu-Label">Find</li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/doctors" target="_self" aria-label="Doctors"><span>Doctors</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item divider-before"> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/services" target="_self" aria-label="Services"><span>Services</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item active"> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/locations" target="_self" aria-label="Locations"><span>Locations</span></a> </li> </ul> </div> <nav class="UH-Feature-Navigation-PrimaryMenu-Nav" aria-label="Primary Navigation"> <ul class="UH-Feature-Navigation-PrimaryMenu-Nav-List"> <li class="UH-Feature-Navigation-PrimaryMenu-Nav-Item "> <div class="UH-Feature-Navigation-PrimaryMenu-Nav-Wrapper"> <a class="UH-Feature-Navigation-PrimaryMenu-Nav-Link" href="/patients-and-visitors" aria-label="Patients &amp;amp; Visitors" target="_self"> Patients &amp; Visitors </a> </div> </li> <li class="UH-Feature-Navigation-PrimaryMenu-Nav-Item "> <div class="UH-Feature-Navigation-PrimaryMenu-Nav-Wrapper"> <a class="UH-Feature-Navigation-PrimaryMenu-Nav-Link" href="/for-clinicians" aria-label="Medical Professionals" target="_self"> Medical Professionals </a> </div> </li> <li class="UH-Feature-Navigation-PrimaryMenu-Nav-Item "> <div class="UH-Feature-Navigation-PrimaryMenu-Nav-Wrapper"> <a class="UH-Feature-Navigation-PrimaryMenu-Nav-Link" href="/uh-research" aria-label="Research Community" target="_self"> Research Community </a> </div> </li> <li class="UH-Feature-Navigation-PrimaryMenu-Nav-Item "> <div class="UH-Feature-Navigation-PrimaryMenu-Nav-Wrapper"> <a class="UH-Feature-Navigation-PrimaryMenu-Nav-Link" href="/medical-education" aria-label="" target="_self"> Medical Learners </a> </div> </li> <li class="UH-Feature-Navigation-PrimaryMenu-Nav-Item "> <div class="UH-Feature-Navigation-PrimaryMenu-Nav-Wrapper"> <a class="UH-Feature-Navigation-PrimaryMenu-Nav-Link" href="/about-uh/volunteer-services" aria-label="" target="_self"> Volunteers </a> </div> </li> <li class="UH-Feature-Navigation-PrimaryMenu-Nav-Item "> <div class="UH-Feature-Navigation-PrimaryMenu-Nav-Wrapper"> <a class="UH-Feature-Navigation-PrimaryMenu-Nav-Link" href="https://www.uhgiving.org" aria-label="" target="_self"> Donors </a> </div> </li> <li class="UH-Feature-Navigation-PrimaryMenu-Nav-Item "> <div class="UH-Feature-Navigation-PrimaryMenu-Nav-Wrapper"> <a class="UH-Feature-Navigation-PrimaryMenu-Nav-Link" href="/for-employees" aria-label="" target="_self"> Employees </a> </div> </li> <li class="UH-Feature-Navigation-PrimaryMenu-Nav-Item "> <div class="UH-Feature-Navigation-PrimaryMenu-Nav-Wrapper"> <a class="UH-Feature-Navigation-PrimaryMenu-Nav-Link" href="http://careers.uhhospitals.org" aria-label="" target="_self"> Job Seekers </a> </div> </li> </ul> </nav> <div class="UH-Feature-Navigation-PrimaryMenu-Footer"> <ul class="UH-Feature-Navigation-LinkMenu vertical"> <li class="UH-Feature-Navigation-LinkMenu-Label">Quick Links</li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/make-an-appointment" target="_self" aria-label=""><span>Make An Appointment</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/services" target="_self" aria-label="Our Services"><span>Our Services</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/mychart" target="_self" aria-label=""><span>UH MyChart</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/patients-and-visitors/billing-insurance-and-medical-records/price-estimates" target="_self" aria-label=""><span>Price Estimate</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/patients-and-visitors/billing-insurance-and-medical-records/cms-medicare-price-transparency-initiative" target="_self" aria-label=""><span>Price Transparency</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill" target="_self" aria-label="Pay My Bill"><span>Pay Your Bill</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/patients-and-visitors/patient-satisfaction-experience" target="_self" aria-label=""><span>Patient Experience</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item active"> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/locations" target="_self" aria-label="Locations Near You"><span>Locations</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/about-uh" target="|Custom" aria-label=""><span>About UH</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="https://www.uhgiving.org:443/" target="_self" aria-label="Give to UH"><span>Give to UH</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="http://careers.uhhospitals.org" target="_self" aria-label="Careers at UH"><span>Careers at UH</span></a> </li> </ul> </div> <div class="UH-Feature-Navigation-PrimaryMenu-Closer"> <button>Close Menu</button> </div> </div> <div class="UH-Project-UHHospitals-Default-Cover"> <button aria-label="Close the Menu" class="UH-Project-UHHospitals-Default-Cover-Closer" tabindex="-1"></button> </div> <div class="UH-Project-UHHospitals-Default-Body"> <div class="UH-Feature-PageContent-TermsBanner" id="terms-banner"> <div class="terms-content"> We have updated our <a href="/terms-and-conditions">Online Services Terms of Use</a> and <a href="/privacy-policy">Privacy Policy</a>. See our <a href="/privacy-policy?#cookies">Cookies Notice</a> for information concerning our use of cookies and similar technologies. By using this website or clicking &ldquo;I ACCEPT&rdquo;, you consent to our <a href="/terms-and-conditions">Online Services Terms of Use</a>. </div> <div class="terms-action"> <button class="terms-action-button" id="accept-terms">I Accept</button> </div> </div> <header> <div class="UH-Project-Common-Header"> <a id="UH-MainMenu-Header-Top" tabindex="-1"></a> <div class="UH-Project-Common-Header-Wrapper"> <div class="header-top"> <!-- Feature/Scheduling/SchedulingBar --> <div class="UH-Feature-Scheduling-SchedulingBar"> <div class="schedulebar-title"> <h4><strong>Schedule an appointment today</strong></h4> </div> <div class="schedulebar-call"> <a href="tel:1-866-844-2273" class="UH-Icon-Phone" ><strong>Call to Schedule</strong><span>: 1-866-UH4-CARE</span> </a> </div> <div class="schedulebar-options"> <button class="schedulebar-options-button UH-Icon-Calendar" id="schedulebar-menu-button"> Schedule Online </button> <!-- This link is now a button using the following markup: <button class="schedulebar-options-button UH-Icon-Calendar" id="schedulebar-menu-button"> Other Scheduling Options </button> --> <!-- begin Other Scheduling options dropdown --> <nav class="schedulebar-menu" id="schedulebar-menu"> <div class="schedulebar-menu-container"> <!-- These links now need class="schedulebar-menu-item" added to them --> <a href="https://www.uhhospitals.org/doctors/search-results?q=Cardiology&amp;category=Specialty&amp;page=1&amp;sort=BestMatch&amp;self-scheduling=true" class="schedulebar-menu-item" >Cardiology</a><a href="https://www.uhhospitals.org/doctors/search-results?q=dermatology&amp;category=Specialty&amp;page=1&amp;sort=Closest&amp;self-scheduling=true" class="schedulebar-menu-item" >Dermatology</a><a href="https://www.uhhospitals.org/doctors/search-results?q=OB%2FGYN-Gynecology&amp;category=Specialty&amp;page=1&amp;sort=BestMatch&amp;self-scheduling=true" class="schedulebar-menu-item" >Gynecology</a><a href="https://www.uhhospitals.org/radiology-scheduling" class="schedulebar-menu-item" >Mammography</a><a href="https://www.uhhospitals.org/doctors/search-results?q=Orthopedics&amp;category=Condition&amp;page=1&amp;sort=BestMatch&amp;self-scheduling=true" class="schedulebar-menu-item" >Orthopedics</a><a href="https://www.uhhospitals.org/doctors/search-results?q=primary%20care&amp;category=Specialty&amp;page=1&amp;sort=Closest&amp;self-scheduling=true" class="schedulebar-menu-item" >Primary Care</a><a href="https://www.uhhospitals.org/make-an-appointment" class="schedulebar-menu-item" >More Options</a> <button aria-label="Close Menu" class="schedulebar-close-button"></button> </div> </nav> <!-- end Other Scheduling options dropdown --> </div> </div> </div> <div class="header-bottom"> <div class="header-left"> <!-- Feature/Identity/Logo --> <div class="UH-Feature-Identity-Logo"> <a href="/" aria-label="Return to the University Hospitals home page"> <img src="/-/media/Images/Logos/UH-LogoZoom2x.png?h=75&amp;w=360&amp;la=en&amp;hash=129AD76B6C8C9335490DD4AF8A969F119FCADF8A" class="logo-large" width="360" height="75" alt="University Hospitals Logo" /> <img src="/-/media/Images/Logos/UHLogos-V1-Color.svg?la=en&amp;hash=4A0F29BF599D367E646D478C2B2D3EA584AAF589" class="logo-medium" alt="University Hospitals Logo" /> <img src="/-/media/Images/Logos/logo-uh-shield-only.png?h=210&amp;w=150&amp;la=en&amp;hash=25E6C3F7297927AB37386F6A99B8D40C03DC01DC" class="logo-small" width="150" height="210" alt="University Hospitals Logo" /> </a> </div> </div> <div class="header-center"> <!-- Feature/Navigation/LinkMenuHorizontal --> <ul class="UH-Feature-Navigation-LinkMenu"> <li class="UH-Feature-Navigation-LinkMenu-Label">Find</li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/doctors" target="_self" aria-label="Doctors"><span>Doctors</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item divider-before"> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/services" target="_self" aria-label="Services"><span>Services</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item active"> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/locations" target="_self" aria-label="Locations"><span>Locations</span></a> </li> </ul> </div> <div class="header-right"> <div class="header-right-subleft" data-container-title="header-right-subleft Placeholder"> <!-- Feature/AccountManagement/Toolbar --> <div class="UH-Feature-AccountManagement-Toolbar"> <ul class="toolbar-links"> <li class="toolbar-rainbow"> <a class="UH-Icon-Rainbow" href="/rainbow">Rainbow</a> </li> <li class="toolbar-account "> <a class="UH-Icon-MyChart" href="/mychart">UH MyChart</a> </li> <li class="toolbar-cart "> <a class="UH-Icon-Cart cart-url" href="/health-information/classes-and-events/event-cart">Cart</a> </li> </ul> </div> <script type="text/javascript"> extend('UH.Feature.AccountManagement.Toolbar.serverConfig', { isLoggedIn: 'False' }); </script> </div> <div class="header-right-subcenter"> <!-- Feature/Search/SiteSearchBox --> <div class="UH-Feature-Search-SiteSearchBox"> <form class="UH-Feature-Search-SiteSearchBox-Form"> <label class="UH-Feature-Search-SiteSearchBox-Label" for="08cdef938fe041458fb53ac7964986a9">Search</label> <input id="08cdef938fe041458fb53ac7964986a9" class="UH-Feature-Search-SiteSearchBox-Input filter-term" type="search" placeholder="Search Full Site" autocomplete="off" /> <input class="hidden first-name" type="text" id="myfirstname" name="myfirstname" /> <input class="UH-Feature-Search-SiteSearchBox-Submit" type="submit" value="Search" /> <button class="UH-Feature-Search-SiteSearchBox-Close">Close the search box</button> </form> </div> <script type="text/javascript"> extend('UH.Feature.Search.SiteSearchBox.serverConfig', { submitURL: '/search-results', noTypeAheadResults: 'Unable to find results that match the current query.', typeAheadResultsCount: 10, searchTokenUrl:'/api/search/GetSearchToken' }); </script> </div> <div class="header-right-subright"> <!-- Feature/Navigation/PrimaryMenuButton --> <div class="UH-Feature-Navigation-PrimaryMenuButton"> <button class="UH-Feature-Navigation-PrimaryMenuButton-Link UH-Feature-Navigation-PrimaryMenuButton-Link-Open" aria-controls="UH-MainMenu" aria-label="Open the Main Menu">Menu</button> </div> </div> </div> </div> </div> </div> </header> <main> <div class="UH-Feature-PageContent-SectionHeader container-fluid"> <div class="sectionheader-heading-wrapper"> <div class="sectionheader-heading"> Patient Resources </div> <div class="sectionheader-utility"> </div> </div> <div class="sectionheader-navigation"> <div class="UH-Feature-Navigation-SecondaryMenu"> <div class="UH-Feature-Navigation-SecondaryMenu-Container"> <nav class="UH-Feature-Navigation-SecondaryMenu-Wrapper" aria-label="Section Navigation"> <ul class="UH-Feature-Navigation-SecondaryMenu-List"> <li class="UH-Feature-Navigation-SecondaryMenu-Item "> <a class="UH-Feature-Navigation-SecondaryMenu-Link " href="/patients-and-visitors" target="_self" aria-label="">About</a> </li> <li class="UH-Feature-Navigation-SecondaryMenu-Item "> <a class="UH-Feature-Navigation-SecondaryMenu-Link " href="/patients-and-visitors/patient-services" target="_self" aria-label="">Your Stay</a> </li> <li class="UH-Feature-Navigation-SecondaryMenu-Item "> <a class="UH-Feature-Navigation-SecondaryMenu-Link " href="/patients-and-visitors/visitor-services" target="_self" aria-label="">Visitor Services</a> </li> <li class="UH-Feature-Navigation-SecondaryMenu-Item "> <a class="UH-Feature-Navigation-SecondaryMenu-Link " href="/patients-and-visitors/billing-insurance-and-medical-records" target="_self" aria-label="">Pricing, Insurance &amp; Billing</a> </li> <li class="UH-Feature-Navigation-SecondaryMenu-Item active "> <a class="UH-Feature-Navigation-SecondaryMenu-Link " href="/health-information" target="_self" aria-label="">Patient Resources</a> </li> <li class="UH-Feature-Navigation-SecondaryMenu-Item "> <a class="UH-Feature-Navigation-SecondaryMenu-Link " href="/patients-and-visitors/patient-satisfaction-experience" target="_self" aria-label="">Patient Experience</a> </li> <li class="UH-Feature-Navigation-SecondaryMenu-Item-More"> <a class="UH-Feature-Navigation-SecondaryMenu-Link-More" href="" target="_self"> <span class="UH-Feature-Navigation-SecondaryMenu-Link-More-Arrow"></span> <span class="UH-Feature-Navigation-SecondaryMenu-Link-More-DropDown">More</span> <span class="UH-Feature-Navigation-SecondaryMenu-Link-More-Menu">Patients & Visitors Menu</span> </a> <ul class="UH-Feature-Navigation-SecondaryMenu-DropDown"> </ul> </li> </ul> </nav> </div> </div> </div> <div class="sectionheader-breadcrumb"> <!-- breadcrumb optionally added here --> <nav class="UH-Feature-Navigation-Breadcrumb" aria-label="Breadcrumb"> <ol class="breadcrumb-container"> <li class="breadcrumb-node"> <a class="breadcrumb-link" href="/" aria-label="Home">Home</a> </li> <li class="breadcrumb-node"> <a class="breadcrumb-link" href="/health-information" aria-label="Patient Resources">Patient Resources</a> </li> <li class="breadcrumb-node active"> <span class="breadcrumb-link" aria-label="Sign Up" aria-current="page">Sign Up</span> </li> </ol> </nav> <div id="UH-MainContent"></div> </div> </div> <section class="UH-Project-Common-Section container-fluid"> <div class="UH-Utility-WidthGate"> <div class="UH-Project-Common-1-Column"> <div class="UH-Project-Common-1-Column-Inner"> <div class="UH-Feature-PageContent-PageTitle"> <h1 class="UH-Feature-PageContent-PageTitle-Heading"> Sign Up for The Science of Health Newsletter </h1> </div> <div class="" data-container-title="Schema Content Placeholder"> </div> <div class="UH-Feature-GenericContent-ContentBlockFullWidth"> <p>Health news and information to help you live your best. Get the latest from our experts delivered right to your inbox every month.</p> <p><em>* Indicates required field</em></p> </div> <link href="/sitecore%20modules/Web/Web%20Forms%20for%20Marketers/mvc/content/themes/base/all.css" rel="stylesheet"/> <link href="/sitecore%20modules/Web/Web%20Forms%20for%20Marketers/mvc/content/Captcha.css" rel="stylesheet"/> <link href="/sitecore%20modules/shell/Web%20Forms%20for%20Marketers/themes/Custom.css" rel="stylesheet"/> <form action="/form/Index?wffm.FormItemId=021db09f-42af-4faf-9f3b-40d74aba8466&amp;wffm.Id=73973fed-0b9d-4012-bee9-47ca0c2b4a0b" class="text-left" data-wffm="{021DB09F-42AF-4FAF-9F3B-40D74ABA8466}" data-wffm-ajax="True" enctype="multipart/form-data" id="wffm73973fed0b9d4012bee947ca0c2b4a0b" method="post" role="form"><input name="__RequestVerificationToken" type="hidden" value="HLvXHYC9_BguLg4ptHCAoUAMoZkPjjzqMhnnTR4tfw5H0dzpGAVZapIPrJc-P13cW1GBYevf7HhX0-M1ezTYsDX_ZUl6aYpzChNyeZU3MUo1" /><input 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href='/FrontEnd/Styles/uh.feature.accountmanagement.min.css?v=0982a64ad425' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.feature.heroes.min.css?v=6def92b00db4' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.feature.callouts.min.css?v=d41d8cd98f00' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.project.common.min.css?v=6cb57e9efbea' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.project.uhhospitals.min.css?v=d41d8cd98f00' /> <title>Sign Up | University Hospitals</title> <link rel="canonical" href="https://www.uhhospitals.org/health-information/sign-up" /> <meta name="VIcurrentDateTime" content="638495720595460795" /> <script type="text/javascript" src="/layouts/system/VisitorIdentification.js"></script> <script src='/FrontEnd/Scripts/Head/uh.foundation.theming.min.js?v=23f5bcb28dcc'></script> <script> (function (d) { var config = { kitId: 'uqg3jzf', scriptTimeout: 3000, async: true }, h = d.documentElement, t = setTimeout(function () { h.className = 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rel="apple-touch-startup-image" /> </head> <body class="UH-Project-UHHospitals-Default"> <div class="UH-Project-UHHospitals-Default-Accessibility-Links" role="navigation"> <a href="#UH-MainContent" tabindex="1">Skip to main content</a> </div> <a class="UH-Project-UHHospitals-Default-Top" id="top" role="navigation"></a> <div id="UH-MainMenu" class="UH-Project-UHHospitals-Default-Wrapper"> <div class="loading-indicator" role="status" aria-live="assertive"> <div class="loading-indicator-content">Loading Results</div> </div> <div class="UH-Feature-Navigation-PrimaryMenu" role="navigation"> <div class="UH-Feature-Navigation-PrimaryMenu-Header"> <div class="UH-Feature-Navigation-PrimaryMenuButton UH-Feature-Navigation-PrimaryMenuButton-Close"> <button class="UH-Feature-Navigation-PrimaryMenuButton-Link-Close" aria-label="Close the Main Menu">Close</button> </div> </div> <a id="UH-MainMenu-Nav-Top" tabindex="-1"></a> <div class="UH-Feature-Navigation-PrimaryMenu-SubHeader"> <ul 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You"><span>Locations</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/about-uh" target="|Custom" aria-label=""><span>About UH</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="https://www.uhgiving.org:443/" target="_self" aria-label="Give to UH"><span>Give to UH</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="http://careers.uhhospitals.org" target="_self" aria-label="Careers at UH"><span>Careers at UH</span></a> </li> </ul> </div> <div class="UH-Feature-Navigation-PrimaryMenu-Closer"> <button>Close Menu</button> </div> </div> <div class="UH-Project-UHHospitals-Default-Cover"> <button aria-label="Close the Menu" class="UH-Project-UHHospitals-Default-Cover-Closer" tabindex="-1"></button> </div> <div class="UH-Project-UHHospitals-Default-Body"> <div class="UH-Feature-PageContent-TermsBanner" id="terms-banner"> <div class="terms-content"> We have updated our <a href="/terms-and-conditions">Online Services Terms of Use</a> and <a href="/privacy-policy">Privacy Policy</a>. See our <a href="/privacy-policy?#cookies">Cookies Notice</a> for information concerning our use of cookies and similar technologies. By using this website or clicking &ldquo;I ACCEPT&rdquo;, you consent to our <a href="/terms-and-conditions">Online Services Terms of Use</a>. </div> <div class="terms-action"> <button class="terms-action-button" id="accept-terms">I Accept</button> </div> </div> <header> <div class="UH-Project-Common-Header"> <a id="UH-MainMenu-Header-Top" tabindex="-1"></a> <div class="UH-Project-Common-Header-Wrapper"> <div class="header-top"> <!-- Feature/Scheduling/SchedulingBar --> <div class="UH-Feature-Scheduling-SchedulingBar"> <div class="schedulebar-title"> <h4><strong>Schedule an appointment today</strong></h4> </div> <div class="schedulebar-call"> <a href="tel:1-866-844-2273" class="UH-Icon-Phone" ><strong>Call to Schedule</strong><span>: 1-866-UH4-CARE</span> </a> </div> <div class="schedulebar-options"> <button class="schedulebar-options-button UH-Icon-Calendar" id="schedulebar-menu-button"> Schedule Online </button> <!-- This link is now a button using the following markup: <button class="schedulebar-options-button UH-Icon-Calendar" id="schedulebar-menu-button"> Other Scheduling Options </button> --> <!-- begin Other Scheduling options dropdown --> <nav class="schedulebar-menu" id="schedulebar-menu"> <div class="schedulebar-menu-container"> <!-- These links now need class="schedulebar-menu-item" added to them --> <a href="https://www.uhhospitals.org/doctors/search-results?q=Cardiology&amp;category=Specialty&amp;page=1&amp;sort=BestMatch&amp;self-scheduling=true" class="schedulebar-menu-item" >Cardiology</a><a href="https://www.uhhospitals.org/doctors/search-results?q=dermatology&amp;category=Specialty&amp;page=1&amp;sort=Closest&amp;self-scheduling=true" class="schedulebar-menu-item" >Dermatology</a><a href="https://www.uhhospitals.org/doctors/search-results?q=OB%2FGYN-Gynecology&amp;category=Specialty&amp;page=1&amp;sort=BestMatch&amp;self-scheduling=true" class="schedulebar-menu-item" >Gynecology</a><a href="https://www.uhhospitals.org/radiology-scheduling" class="schedulebar-menu-item" >Mammography</a><a href="https://www.uhhospitals.org/doctors/search-results?q=Orthopedics&amp;category=Condition&amp;page=1&amp;sort=BestMatch&amp;self-scheduling=true" class="schedulebar-menu-item" >Orthopedics</a><a href="https://www.uhhospitals.org/doctors/search-results?q=primary%20care&amp;category=Specialty&amp;page=1&amp;sort=Closest&amp;self-scheduling=true" class="schedulebar-menu-item" >Primary Care</a><a href="https://www.uhhospitals.org/make-an-appointment" class="schedulebar-menu-item" >More Options</a> <button aria-label="Close Menu" class="schedulebar-close-button"></button> </div> </nav> <!-- end Other Scheduling options dropdown --> </div> </div> </div> <div class="header-bottom"> <div class="header-left"> <!-- Feature/Identity/Logo --> <div class="UH-Feature-Identity-Logo"> <a href="/" aria-label="Return to the University Hospitals home page"> <img src="/-/media/Images/Logos/UH-LogoZoom2x.png?h=75&amp;w=360&amp;la=en&amp;hash=129AD76B6C8C9335490DD4AF8A969F119FCADF8A" class="logo-large" width="360" height="75" alt="University Hospitals Logo" /> <img src="/-/media/Images/Logos/UHLogos-V1-Color.svg?la=en&amp;hash=4A0F29BF599D367E646D478C2B2D3EA584AAF589" class="logo-medium" alt="University Hospitals Logo" /> <img src="/-/media/Images/Logos/logo-uh-shield-only.png?h=210&amp;w=150&amp;la=en&amp;hash=25E6C3F7297927AB37386F6A99B8D40C03DC01DC" class="logo-small" width="150" height="210" alt="University Hospitals Logo" /> </a> </div> </div> <div class="header-center"> <!-- Feature/Navigation/LinkMenuHorizontal --> <ul class="UH-Feature-Navigation-LinkMenu"> <li class="UH-Feature-Navigation-LinkMenu-Label">Find</li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/doctors" target="_self" aria-label="Doctors"><span>Doctors</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item divider-before"> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/services" target="_self" aria-label="Services"><span>Services</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item active"> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/locations" target="_self" aria-label="Locations"><span>Locations</span></a> </li> </ul> </div> <div class="header-right"> <div class="header-right-subleft" data-container-title="header-right-subleft Placeholder"> <!-- Feature/AccountManagement/Toolbar --> <div class="UH-Feature-AccountManagement-Toolbar"> <ul class="toolbar-links"> <li class="toolbar-rainbow"> <a class="UH-Icon-Rainbow" href="/rainbow">Rainbow</a> </li> <li class="toolbar-account "> <a class="UH-Icon-MyChart" href="/mychart">UH MyChart</a> </li> <li class="toolbar-cart "> <a class="UH-Icon-Cart cart-url" href="/health-information/classes-and-events/event-cart">Cart</a> </li> </ul> </div> <script type="text/javascript"> extend('UH.Feature.AccountManagement.Toolbar.serverConfig', { isLoggedIn: 'False' }); </script> </div> <div class="header-right-subcenter"> <!-- Feature/Search/SiteSearchBox --> <div class="UH-Feature-Search-SiteSearchBox"> <form class="UH-Feature-Search-SiteSearchBox-Form"> <label class="UH-Feature-Search-SiteSearchBox-Label" for="08cdef938fe041458fb53ac7964986a9">Search</label> <input id="08cdef938fe041458fb53ac7964986a9" class="UH-Feature-Search-SiteSearchBox-Input filter-term" type="search" placeholder="Search Full Site" autocomplete="off" /> <input class="hidden first-name" type="text" id="myfirstname" name="myfirstname" /> |
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