www.dermamonitor.com Open in urlscan Pro
23.106.50.16  Public Scan

Form analysis
4 forms found in the DOM

<form id="modal-region-form">
  <div class="input-container">
    <label for="modal-region-form-input-region" class="no-hover">Select your account region:</label>
    <div>
      <select id="modal-region-form-input-region" name="modal-region-form-input-region" class="custom-select">
        <option value="ap-southeast-1">Singapore</option>
        <option value="us-east-1" selected="">United States of America</option>
      </select>
    </div>
  </div>
  <div class="form-buttonrow">
    <div class="error-section">
      <svg id="modal-region-form-error-icon" class="error display-none">
        <use href="#icon-warning-outline"></use>
      </svg>
      <p id="modal-region-form-error-label" class="error display-none"></p>
    </div>
    <div id="modal-region-form-spinner" class="spinner-ring-sm form-spinner display-none"></div>
    <input type="submit" name="modal-region-form-button-confirm" value="Confirm" class="button-cta">
  </div>
</form>

<form id="modal-otp-form" autocomplete="off">
  <input type="hidden" name="modal-otp-form-input-changepassword">
  <input type="text" name="modal-otp-form-input-remaining-time" class="display-none">
  <input type="text" name="modal-otp-form-input-remaining-attempts" class="display-none">
  <div class="otp-token-input-group">
    <input type="number" name="modal-otp-form-input-digit-1" maxlength="1" ondrop="return false;">
    <input type="number" name="modal-otp-form-input-digit-2" maxlength="1" ondrop="return false;">
    <input type="number" name="modal-otp-form-input-digit-3" maxlength="1" ondrop="return false;">
    <input type="number" name="modal-otp-form-input-digit-4" maxlength="1" ondrop="return false;">
    <input type="number" name="modal-otp-form-input-digit-5" maxlength="1" ondrop="return false;">
    <input type="number" name="modal-otp-form-input-digit-6" maxlength="1" ondrop="return false;">
  </div>
  <div class="form-buttonrow">
    <div class="error-section">
      <svg id="modal-otp-form-error-icon" class="error display-none">
        <use href="#icon-warning-outline"></use>
      </svg>
      <p id="modal-otp-form-error-label" class="error display-none"></p>
    </div>
    <div id="modal-otp-form-spinner" class="spinner-ring-sm form-spinner display-none"></div>
    <input type="submit" name="modal-otp-form-button-verify" value="Verify" class="button-cta">
  </div>
</form>

<form id="modal-setpassword-form" autocomplete="off">
  <div class="modal-passwords-input-container">
    <div class="input-wrapper-relative">
      <input type="password" id="modal-setpassword-form-input-new1" name="modal-setpassword-form-input-new1" placeholder=" " data-required="required">
      <label for="modal-setpassword-form-input-new1">New Password</label>
      <div class="button-toggle-password">
        <span class="icon-eye-off-outline"></span>
      </div>
    </div>
  </div>
  <div class="modal-passwords-input-container">
    <div class="input-wrapper-relative">
      <input type="password" id="modal-setpassword-form-input-new2" name="modal-setpassword-form-input-new2" placeholder=" " data-required="required">
      <label for="modal-setpassword-form-input-new2">New Password (Repeat)</label>
      <div class="button-toggle-password">
        <span class="icon-eye-off-outline"></span>
      </div>
    </div>
  </div>
  <div class="form-buttonrow">
    <div class="error-section">
      <svg id="modal-setpassword-form-error-icon" class="error display-none">
        <use href="#icon-warning-outline"></use>
      </svg>
      <p id="modal-setpassword-form-error-label" class="error display-none"></p>
    </div>
    <div id="modal-setpassword-form-spinner" class="spinner-ring-sm form-spinner display-none"></div>
    <input type="submit" name="modal-setpassword-form-button-save" value="Set Password" class="button-cta" disabled="">
  </div>
</form>

<form id="signin-form">
  <div class="input-container">
    <label for="signin-form-input-email">Email</label>
    <input type="text" id="signin-form-input-email" name="signin-form-input-email" data-required="required" data-type="email" value="">
  </div>
  <div class="input-container">
    <label for="signin-form-input-username">Username</label>
    <input type="text" id="signin-form-input-username" name="signin-form-input-username" data-required="required">
  </div>
  <div class="input-container">
    <label for="signin-form-input-password">Password</label>
    <div class="input-wrapper-relative">
      <input type="password" id="signin-form-input-password" name="signin-form-input-password" data-required="required">
      <div class="button-toggle-password">
        <span class="icon-eye-off-outline"></span>
      </div>
    </div>
  </div>
  <div class="signin-flex-row">
    <a href="https://www.dermamonitor.com/resetpassword">Forgot your password?</a>
    <label for="signin-form-input-rememberme" class="radiocheckbox-container single-checkbox">Remember me <input type="checkbox" id="signin-form-input-rememberme" name="signin-form-input-rememberme">
      <span class="custom-checkbox"></span>
    </label>
  </div>
  <div class="form-buttonrow">
    <div class="error-section">
      <svg id="signin-form-error-icon" class="error display-none">
        <use href="#icon-warning-outline"></use>
      </svg>
      <p id="signin-form-error-label" class="error display-none"></p>
    </div>
    <div id="signin-form-spinner" class="spinner-ring-sm form-spinner display-none"></div>
    <input type="submit" name="signin-form-button-signin" value="Sign In" class="button-cta">
  </div>
</form>

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Singapore United States of America




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