hmeorthokliniekbv.mijndiad.nl Open in urlscan Pro
2a0b:3100:100:5e::21:146  Public Scan

Form analysis
1 forms found in the DOM

POST

<form method="POST"> <!----> <!---->
  <fieldset class="form-group" id="__BVID__26">
    <legend tabindex="-1" class="bv-no-focus-ring col-form-label pt-0" id="__BVID__26__BV_label_">E-mailadres</legend>
    <div tabindex="-1" role="group" class="bv-no-focus-ring"><input id="username" name="username" type="email" autocomplete="off" class="form-control" aria-required="true" aria-invalid="false"><!----><!----><!----></div>
  </fieldset>
  <fieldset class="form-group" id="__BVID__28">
    <legend tabindex="-1" class="bv-no-focus-ring col-form-label pt-0" id="__BVID__28__BV_label_">Wachtwoord</legend>
    <div tabindex="-1" role="group" class="bv-no-focus-ring"><input id="password" name="password" type="password" autocomplete="off" class="form-control" aria-required="true" aria-invalid="false"><!----><!----><!----></div>
  </fieldset>
  <div class="row">
    <div class="col"><a href="/password/reset" class="" style="line-height: 41px;">Wachtwoord vergeten?</a> <button type="submit" class="btn float-right btn-primary">Inloggen</button></div>
  </div>
</form>

Text Content

E-mailadres

Wachtwoord

Wachtwoord vergeten? Inloggen
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