www.mywakehealth.org Open in urlscan Pro
152.11.242.70  Public Scan

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"><span class="Affiliate myWakeHealth"> myWakeHealth Username</span><span class="Affiliate MyChartConnect"> myChartConnect Username</span></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="/mychart/recoverlogin.asp">Forgot username?</a><a href="/mychart/passwordreset.asp">Forgot password?</a></div>
    <div id="invisibleCaptchaContainer" class="loginCaptcha"></div>
  </div>
</form>

POST /mychart/Authentication/Login/DoLogin

<form class="hidden" action="/mychart/Authentication/Login/DoLogin" autocomplete="off" id="actualLogin" method="post" target="_top"><input name="__RequestVerificationToken" type="hidden"
    value="Kwa6qvd5SHtbRN_ubP7YOxideMwl19LCC5AvVL1_SWSJUZSLB0Ppk8nle5Ia5MOTrDHecZEM9B0Ahs4glAu-SP5xJBo1" autocomplete="off">
  <div class="formcontents"><input class="" name="LoginInfo" id="LoginInfo" autocomplete="off"></div><input type="hidden" name="DeviceId"><input type="hidden" name="postLoginUrl" value="">
</form>

Text Content

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 * COMMUNICATE WITH YOUR DOCTOR
   
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   doctor's comments within days


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


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