drivethrudoc.healthcare Open in urlscan Pro
107.180.3.212  Public Scan

Form analysis
1 forms found in the DOM

POST index.php

<form method="POST" action="index.php" class="form">
  <div class="form-group">
    <div class="input-group">
      <p class="user-id"> User ID </p>
      <input type="text" required="required" name="username" class="username">
      <p class="f-user-id">
        <a href="" style="color: #2863BA;">
												Forgot user ID?
											</a>
      </p>
    </div>
    <div class="input-group">
      <p class="user-id"> Password </p>
      <input type="password" required="required" name="password" class="password">
      <p class="f-user-id">
        <a href="" style="color: #2863BA;">
												Forgot password?
											</a>
      </p>
    </div>
    <div class="input-group">
      <input type="checkbox" class="checkbox">
      <p class="check-para"> Keep me signed in </p>
    </div>
    <div class="input-group">
      <input type="submit" class="submit" name="submit" value="Sign in">
    </div>
    <hr>
    <center>
      <div class="input-group">
        <p class="cancel">
          <a href="" style="color:##2863BA;">
													Cancel
												</a>
        </p>
      </div>
    </center>
  </div>
</form>

Text Content

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User ID

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Password

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