my.wellspan.org Open in urlscan Pro
205.172.187.226  Public Scan

Submitted URL: https://my.wellspan.org/
Effective URL: https://my.wellspan.org/MyWellSpan/Authentication/Login
Submission: On September 25 via manual from AU — Scanned from AU

Form analysis 2 forms found in the DOM

POST #

<form autocomplete="off" method="post" action="#" id="loginForm" target="_top">
  <div class="formcontents"><input class="hidden" type="hidden" id="jsenabled" name="jsenabled" value="0" autocomplete="off">
    <div class="ghostInput compact ghosted"><label for="Login">MyWellSpan Username</label><input data-permissive="true" class="jsreq" type="text" id="Login" name="Login" maxlength="128" autocomplete="off" aria-describedby="errorMessage"></div>
    <div class="ghostInput"><label for="Password">Password</label><input class="jsreq" type="password" id="Password" name="Password" autocomplete="off" aria-describedby="errorMessage"></div><input class="button tall jsreq completeworkflow"
      type="submit" name="submit" id="submit" value="Sign in" title="" autocomplete="off">
    <div class="recovery"><a href="/MyWellSpan/recoverlogin.asp">Forgot username?</a><a href="/MyWellSpan/passwordreset.asp">Forgot password?</a></div>
    <div id="invisibleCaptchaContainer" class="loginCaptcha"></div>
  </div>
</form>

POST /MyWellSpan/Authentication/Login/DoLogin

<form class="hidden" action="/MyWellSpan/Authentication/Login/DoLogin" autocomplete="off" id="actualLogin" method="post" target="_top"><input name="__RequestVerificationToken" type="hidden"
    value="3rCZn9w3n-jNVW2KhkHrThkdUV4zvvkhzs0oHbB0Rn8AnXJ6YE5Tbiq8x0rI3q66H1zLLKnIcZhqL1Ml4Qft86VTZ0k1" autocomplete="off">
  <div class="formcontents">
  </div><input type="hidden" name="DeviceId"><input type="hidden" name="postLoginUrl" value="">
</form>

Text Content

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Sign in to MyWellSpan

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 * MANAGE YOUR APPOINTMENTS
   
   Schedule, reschedule or cancel your next appointment, or view details of your
   past and upcoming appointments.


 * ACCESS YOUR HEALTH/MEDICAL RECORD
   
   View your labs, imaging results and visit notes, most within hours after your
   visit.


 * COMMUNICATE WITH YOUR DOCTOR
   
   Get answers to your medical questions from the comfort of your own home.


 * MANAGE YOUR BILLING ACCOUNT
   
   View statements, pay bills or set up paperless billing. Guests can pay bills
   without signing in to MyWellSpan.


 * ECHECK-IN FOR A VISIT
   
   Update your health details, verify insurance or pay copays before your visit.


 * REQUEST PRESCRIPTION REFILLS
   
   Send a prescription refill or renewal request to your pharmacy.


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