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<!DOCTYPE html>
<html>
<head>
  <meta charset="utf-8">
  <meta name="viewport" content="width=device-width">
  <title>JS Bin</title>
</head>
<body>
  <div class="chart">
    <h3 class="chart__title">
      MyChart
    </h3>
    
    <div class="chart__tabs">
      <div class="chart__tab">
        <input type="radio" id="signin" name="mychart" class="chart__input" checked=checked>
        <label for="signin"  class="chart__label">Sign In</label>
        <div class="chart__body">
          <form action="" method="POST" class="form">
            <div class="form__item">
              <input type="text" placeholder="Username" class="form__input">
              <a href="#" class="form__forgot">Forgot Username?</a>
            </div>
            <div class="form__item">
              <input type="text" placeholder="Password" class="form__input">
              <a href="#" class="form__forgot">Forgot Password?</a>
            </div>
            
            <a href="#" class="form__submit">Sign In to MyChart</a>
          </form>
        </div>
      </div>
      
      <div class="chart__tab">
        <input id="register" type="radio" name="mychart" class="chart__input">
        <label for="register"  class="chart__label">Register</label>
        <div class="chart__body">
          <div class="form__message">
            <p>To register for MyChart, our patient communication and information system, you’ll need the activation code from your enrollment letter.</p>
          <p>If you haven’t received an activation code, please request one to begin.</p>
            <a href="#" class="form__submit">Continue to Registration</a>
            <a href="#" class="form__link">Request Activation Code</a>
          </div>
        </div>
      </div>
    </div>
          
      <div class="chart-community">
        <div class="chart-community__item">
          Community Howard Regional Health?
          <a href="#" class="form__link">Sign In to My e-Health</a>
        </div>
        <div class="chart-community__item">
          Community Hospital Anderson?
          <a href="#" class="form__link">Sign In to MyRecords</a>
        </div>
      </div>
  </div>
</body>
</html>
 
​
Output

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